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目的:对深静脉置管在低血容量休克抢救中的实施要点展开对比分析。方法:对中山市坦洲医院在2011年5月-2013年9月收治的48例低血容量休克患者展开对比分析,并将其分为观察组和对照组,均为24例,通过不同置管方法对两组患者治疗效果展开对比分析。结果:观察组患者4 h内循环改善率为87.50%、4 h尿量改善率为91.67%、器官功能障碍率为12.50%、死亡率为4.17%。同对照组患者的4 h内循环改善率(50.00%)、4 h尿量改善率(54.17%)、器官功能障碍率(37.50%)和死亡率(25.00%)相比,差异具有统计学意义(P<0.05)。结论:深静脉置管可有效改善低血容量休克患者血压和尿量,降低其死亡率。
Objective: To compare and analyze the implementation of deep venous catheterization in hypovolemic shock rescue. Methods: Forty-eight patients with hypovolemic shock admitted to Tanzhou Hospital of Zhongshan City from May 2011 to September 2013 were divided into observation group and control group, all of whom were in 24 cases. Tube method of comparative analysis of the treatment effect of two groups of patients. Results: The improvement rate of circulatory system within 4 h in observation group was 87.50%, the improvement rate of urine output in 4 hours was 91.67%, the organ dysfunction rate was 12.50% and the mortality rate was 4.17%. Compared with the control group, the improvement rate of circulatory system (50.00%), the improvement rate of 4 h urinary volume (54.17%), the organ dysfunction rate (37.50%) and the mortality rate (25.00%) within 4 h were significantly different (P <0.05). Conclusion: Deep vein catheterization can effectively improve blood pressure and urine output in patients with hypovolemic shock and reduce their mortality.