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目的：探讨乳酸钠林格液和生理盐水对创伤失血性休克的早期限制性复苏效果。方法选择2010年6月~2013年6月本院急诊科救治的100例创伤失血性休克患者，分为生理盐水液限制性液体复苏(NS限制组)组(50例)，乳酸钠林格液限制性液体复苏(LR限制组)组(50例)，对两组患者复苏前后血红蛋白(HGB)、血小板(PLT)、凝血酶原时间(PT)、PH值、血乳酸、血清Cl-含量，复苏后输液量进行统计学分析。结果复苏前两组间HGB、PLT、PT、PH值、血乳酸、血清Cl-值比较差异均无统计学意义(>0.05)。复苏后，LR限制组的HGB、PLT、PH值、血乳酸均较NS限制组高，差异均有统计学意义(<0.05)。复苏后，LR限制组的输液量、PT、血清Cl-值均较NS限制组低，差异均有统计学意义(0.05).The level of HGB,platelet,pH,blood lactate,Cl-in serum was significantly higher in RLR than those in RS after resuscitation ( <0.05).The volume of fluids required,PT and Cl-in serum in RLR were significantly lower than RS ( <0.05).Conclusion Restrictive lactated Ringer\'s solution is more suitable for the therapy of the early resuscitation.of traumatic hemor hagic shock.Compared with restrictive saline,restrictive lactated Ringer\'s solution can prevent the occur ence of acidosis with high Cl-and dilution coagulopathy.