论文部分内容阅读
目的探讨在围术期使用高渗盐复合常规液体与单纯使用常规液体复苏对创伤性休克患者的疗效。方法将120例创伤性休克急救手术患者随机分为常规液体复苏组,高渗盐(7.5%NaCl)加入组,每组60例。向设定的目标进行容量复苏。比较两组CVP、MBP、HR、SPO2、HCT、pH值、血乳酸、碱超。结果高渗盐加入组对比常规液体组,达标时间较短(P<0.01)、复苏液的使用量较少(P<0.01)、血乳酸及碱超得到更好的改善(P<0.01)、MODS发生率降低(P<0.05)、病死率降低(P<0.05)。结论创伤性休克患者使用高渗盐能迅速改善循环,缩短缺血缺氧时间,降低MODS发生率,提高存活率,值得推广应用。
Objective To investigate the effect of perioperative hypertonic saline combined conventional liquid and conventional liquid resuscitation on patients with traumatic shock. Methods 120 cases of traumatic shock and emergency operation were randomly divided into conventional liquid resuscitation group, hypertonic saline (7.5% NaCl) added to the group, 60 cases in each group. Capacity recovery to the set target. Compare two groups of CVP, MBP, HR, SPO2, HCT, pH, blood lactic acid, alkali super. Results Compared with the conventional liquid group, the time of reaching the standard was shorter (P <0.01), the amount of resuscitation fluid was less (P <0.01), the blood lactic acid and alkali exceeded better (P <0.01) The incidence of MODS was lower (P <0.05) and mortality was lower (P <0.05). Conclusions In patients with traumatic shock, hypertonic saline can rapidly improve circulation, shorten the duration of hypoxia and hypoxia, reduce the incidence of MODS and improve the survival rate, which deserves to be popularized and applied.