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高渗盐水治疗失血性休克时应重视止血
引用本文:郑士友,陈辉.高渗盐水治疗失血性休克时应重视止血[J].蚌埠医学院学报,1995,20(2):97-98.
作者姓名:郑士友  陈辉
作者单位:Department of Emergency Surgery,Affiliated Hospital of Bengbu Medical College,Anhui
摘    要:我们在近3年多的时间内使用HSL治疗失血性休克85例,总有效率达86%,但是,对损伤处仍有活动性出血者疗效较差,甚至有4例死亡我们认为使用HSL前要对损伤部位作暂时性止血,有内脏出血者输注HSL后要作密切观察,并要积极准备手术止备。

关 键 词:失血性休克  高渗盐水  止血  休克

CONTROL OF BLEEDING IS ESSENTIAL FOR A SUCCESSFUL TREATMENT OF HEMORRHAGIC SHOCK WITH HYPERTONIC SODIUM LACTATE
Zheng Shiyou,Cheng Hui.CONTROL OF BLEEDING IS ESSENTIAL FOR A SUCCESSFUL TREATMENT OF HEMORRHAGIC SHOCK WITH HYPERTONIC SODIUM LACTATE[J].Journal of Bengbu Medical College,1995,20(2):97-98.
Authors:Zheng Shiyou  Cheng Hui
Abstract:During the three years and more,We treated 85 cases of hemorrhagic shock with 7.5%hypertonic sodium lactate(HSL),and the total effective rate is 86%. We consider that quick intra-venous administration of HSL has many advantages for treating hemorrhagic shock. But 4 cases,whose blood pressures were under a level of l2 kPa,died soon after the infusion of the hypertonicsolution. We suggest that temporary hemostasis be given before the infusion and close observationbe given during the infusion,as HSL may accelerate hemorrhage of the damaged organs.
Keywords:hemorrhagic shock  hemostasis  hypertonic sodium lactate  
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