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目的:研究传统补液法和亚休克疗法在院前急救治疗创伤性休克的效果,并对其进行比较。方法:选取我院2012-2016年收治的创伤性休克患者138例,将其随机分为对照组和观察组各69例,对照组选择传统补液法进行治疗,观察组选择亚休克疗法,观察对比两组患者各时段的各项临床指标,24h、48h、72h三个时段的病死率、严重并发症发生率。结果:经治疗后,对照组患者的死亡率为33.33%,72小时总死亡率42.03%,明显高于观察组的17.39%和18.84,(P<0.05).且在收缩压差异不明显的情况下,对照组输液量、凝血酶原时间均高于观察组,但血红蛋白水平、血小板计数均低于观察组。结论:亚休克疗法院前急救治疗创伤性休克的效果由于传统补液法,可以有效的减少创伤性休克患者的病死率及严重并发症发生率,值得临床推广使用。
Objective: To study the effect of traditional rehydration and sub-shock therapy on pre-hospital emergency traumatic shock and to compare them. Methods: A total of 138 patients with traumatic shock admitted to our hospital from 2012 to 2016 were selected and randomly divided into control group and observation group (n = 69). The control group received conventional rehydration therapy and the observation group received sub-shock therapy The two groups of patients in each period of clinical indicators, 24h, 48h, 72h three time frame mortality, the incidence of serious complications. Results: After treatment, the mortality rate of the control group was 33.33%, the total mortality rate of 72 hours was 42.03%, which was significantly higher than that of the observation group (17.39% vs 18.84, P <0.05) Under the control group infusion volume, prothrombin time were higher than the observation group, but hemoglobin level, platelet count were lower than the observation group. Conclusion: The effect of pre-emergency treatment of traumatic shock with sub-shock therapy in patients with traumatic shock can effectively reduce the mortality and the incidence of serious complications in patients with traumatic shock, which is worthy of clinical promotion.