| 限制性液体复苏治疗创伤性失血性休克的临床观察 |
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| 引用本文： | 陈江.限制性液体复苏治疗创伤性失血性休克的临床观察[J].价值工程,2011,30(29):306-307. |
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| 作者姓名： | 陈江 |
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| 作者单位： | 东南大学医学院附属江阴医院急诊科,江阴,214400 |
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| 摘 要： | 目的:探讨限制性液体复苏治疗创伤性失血性休克的疗效及对炎症因子的影响。方法:选择2008年3月至2011年3月60例创伤性失血性休克患者,随机分为对照组和观察组,每组30例。对照组采用充分液体复苏治疗,观察组应用限制性液体复苏治疗,观察两组患者的术前输液量、红细胞压积、凝血酶原时间、死亡率以及C-反应蛋白、IL-6浓度变化。结果:观察组术前输液量、凝血酶原时间、死亡率、C-反应蛋白、IL-6浓度分别是(1768.79±236.54)ml、(12.14±4.13)s、6.67%、(102.43±33.57)ng/L、(213.49±64.82)ng/L,明显低于对照组的(2876.59±287.34)ml、(17.13±3.94)s、16.67%、(124.67±37.84)ng/L、(275.61±72.35)ng/L,P<0.05。观察组术前红细胞压积是(31.45±3.25)%,显著高于对照组的(24.37±3.69)%,P<0.05。结论:限制性液体复苏治疗创伤性失血性休克临床疗效较好,减轻机体炎症反应,有利于患者康复。
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| 关 键 词： | 限制性液体复苏 充分液体复苏 创伤性失血性休克 疗效 炎症因子 |
The Clinical Observation of Limited Fluid Resuscitation of Traumatic Hemorrhagic Shock |
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| Chen Jiang.The Clinical Observation of Limited Fluid Resuscitation of Traumatic Hemorrhagic Shock[J].Value Engineering,2011,30(29):306-307. |
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| Authors: | Chen Jiang |
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| Institution: | Chen Jiang (Department of Emergency of the Affiliated Jiangyin Hospital of Southeast University Medical College,Jiangyin 214400,China) |
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| Abstract: | Objective: To observe the effects of limited fluid resuscitation of traumatic hemorrhagic shock on clinical efficacy and inflammatory factors.Methods: A total of 60 patients with traumatic hemorrhagic shock who were selected from March 2008 to March 2011 were randomly divided into control group and observation group,30 patients in each group.The patients were treated with adequate fluid resuscitation in the control group,and the observation group received limited fluid resuscitation.The infusion fluid volum... |
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| Keywords: | limited fluid resuscitation adequate fluid resuscitation traumatic hemorrhagic shock clinical efficacy inflammatory factors |
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