创伤性休克液体复苏的临床分析

 目的探讨液体复苏对严重创伤患者的救治效果.方法回顾性总结我科收治的严重创伤165例入院1 h内液体复苏与创伤性休克的量效关系.结果165例中复苏成功率为67.9%,复苏成功后死于多器官功能衰竭(MODS)11例(6.66%),创伤病死率32.1%(53例).创伤性休克患者早期(最初1 h)输液量大于1.5 L两组存活率明显高于输液量小于1.0L组.结论创伤性休克早期液体复苏应以血液动力学稳定为基础,以纠正氧代谢紊乱和防止MODS为目的,纠正低氧血症,改善组织供氧及利用.

Fluid resuscitation in traumatic shock

Objective To investigate the efficacy of fluid resuscitation in treatment of severe traumatic shock.Methods Between July 2002 and February 2005,165 patients with severe traumatic shock treated in our department were analyzed retrospectively,and the volume-effect relationship between fluid volume during the first hour and traumatic shock was summarized. Results The success rate of resuscitation was 67.9%(112 cases),and traumatic mortality was 32.1%(53 cases),11 of whom died of multiple organ dysfunction syndrome(MODS) after resuscitation.Conclusion In earlier period(first 1 h) of severe traumatic shock,the survival rates in the two groups with infused amount >1.5 L were markedly higher than that in the group with infused amount <1.0 L.So the aim of fluid resuscitation in traumatic shock is to maintain the hemodynamics,prevent MODS and correct oxygen metabolic disturbance.