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目的探讨不同液体复苏方法在外伤性肝脾破裂所致失血性休克中的临床效果。方法 62例外伤性脾破裂患者,随机分为观察组和对照组,每组31例。观察组实施限制性液体复苏方法 ,对照组采用常规的正压液体复苏方法。记录两组液体输入量、测定两组凝血酶原时间;记录两组急性呼吸窘迫综合征、多器官功能衰竭综合征发生情况;观察两组治愈情况。结果观察组的液体输入量和凝血酶原时间均低于对照组,差异有统计学意义(P<0.05);观察组急性呼吸窘迫综合征、多器官功能衰竭综合征发率低于对照组,差异有统计学意义(P<0.05);观察组治愈率高于对照组,差异有统计学意义(P<0.05)。结论限制性液体复苏在外伤性肝脾所致失血性休克中的效果显著,能够提高患者的治愈率,减少急性呼吸窘迫综合征、多器官功能衰竭综合征的发生。
Objective To investigate the clinical effects of different fluid resuscitation methods on hemorrhagic shock induced by traumatic liver and spleen rupture. Methods 62 cases of traumatic rupture of the spleen were randomly divided into observation group and control group, 31 cases in each group. In the observation group, the method of restrictive fluid resuscitation was used. In the control group, the conventional positive pressure liquid resuscitation method was used. Record the two groups of fluid input, prothrombin time was measured in both groups; record two sets of acute respiratory distress syndrome, multiple organ failure syndrome; observed two groups of cured. Results The amount of fluid and prothrombin time in the observation group were lower than those in the control group (P <0.05). The incidence of acute respiratory distress syndrome and multiple organ failure syndrome in the observation group was lower than that in the control group (P <0.05). The cure rate of the observation group was higher than that of the control group (P <0.05). Conclusion Restrictive fluid resuscitation is effective in hemorrhagic shock induced by traumatic liver and spleen, which can improve the cure rate of patients and reduce the incidence of acute respiratory distress syndrome and multiple organ failure syndrome.