摘要
目的分析限制性液体复苏在骨盆骨折伴失血性休克急救中的应用效果。方法选取在我院急救的骨盆骨折伴失血性休克患者98例,按抽签顺序分为两组,各49例。对照组实施常规液体复苏,研究组采用限制性液体复苏,对比两组患者实验室结果、并发症发生率及病死率。结果研究组血小板、血细胞比容较对照组明显升高,血液凝血酶原时间、血乳酸明显降低,差异有统计学意义(P<0.05);研究组酸中毒、DIC、多器官功能障碍综合征(MODS)发生率及病死率较对照组降低,差异有统计学意义(P<0.05)。结论在骨盆骨折伴失血性休克急救中实施限制性液体复苏,可降低并发症发生率及病死率,改善患者预后。
Objective To analyse the application effect of first-aid of pelvic fracture with hemorrhagic shock by limited fluid resuscitation. Methods 98 cases of patients accepted the first-aid of pelvic fracture with hemorrhagic shock in our hospital were selected, to divided into two groups as the order of lottery, each 49 cases. The control group was implemented by conventional fluid resuscitation, the treatment group was implemented by limited fluid resuscitation, to compared the laboratory result, incidence rate of complication and case fatality rate of them. Results The specific volume of blood platelet and hemocyte of the treatment group was significantly raised that compared with the control group, the prothrombin time of blood and blood lactic acid was significantly reduced, there was statistical significance （P〈0.05）. The acidosis, DtC, occurrence rate of multiple organ dysfunction syndrome （MODS） and case fatality rate of the treatment group was significantly reduced that compared with the control, there was statistical significance （P〈0.05）. Conclusion That able to reduce the incidence rate of complication, fatality rate and to improve the patient outcome of first-aid of pelvic fracture with hemorrhagic shock by limited fluid resuscitation.
出处
《中国继续医学教育》
2016年第26期118-120,共3页
China Continuing Medical Education
关键词
限制性
液体复苏
骨盆骨折
伴失血性休克
急救
Limited, Fluid resuscitation, Fracture of pelvis, With hemorrhagic shock, First-aid
