Effect of Limited Fluid Resuscitation on Prognosis of Patients with Severe Closed Traumatic Hemorrhagic Shock
DAI Yulong;Suixi People's Hospital;
Objective To compare and analyze the prognosis effect of limited fluid resuscitation and conventional fluid resuscitation by adopting them respectively on patients with closed traumatic hemorrhagic shock. Methods 82 patients with severe closed traumatic hemorrhagic shock were randomly divided into two groups. During pre- hospital resuscitation period,patients in control group were given conventional fluid resuscitation,while those in experimental group were given limited fluid resuscitation. Pre- hospital revival time,infusion quantity,hemoglobin content and blood platelet count after arriving at hospital,input quantity of blood product,incidence of infection and organ failure and mortality between the two groups were compared to judge the two approaches of resuscitation. Results Pre- hospital revival time and infusion quantity of the experimental group were obviously less than that of the control group( P 0. 05). Hemoglobin content and blood platelet count were higher in the experimental group( P 0. 05). Input quantity of blood product and the incidence of infection in the experimental group were fewer than that of the control group,and the mortality and incidence of organ failure were also fewer in the experimental group. Conclusion In the clinical practice of severe closed traumatic hemorrhagic shock,it can be seen that the prognosis of patients with limited fluid resuscitation is significantly better than that of patients with conventional fluid resuscitation. With the advantages of lower amount of transfusion and fewer possibility of infection and organ failure,limited fluid resuscitation is worthy of promotion.
【CateGory Index】： R605.971