Effect of preoperative limited fluid resuscitation to the patients with traumatic shock

Objective： To investigate the effect of preoperative limited fluid resuscitation on the patients with traumatic shock. Methods： Eighty-nine patients with multiple injuries complicating with shock were treated in Changhai Hospital Between January 2002 to October 2005 and were divided into 3 groups according to the preoperative levels of systolic blood pressure （SBP）. SBP of group A and group B were about 70 and 80 mmHg, respectively; and the SBP of group C was over 90 mmHg. Results, （1） There was no significant difference in age, gender, and injury severity score （ISS）, initiated resuscitation time and initiated operation time among the 3 groups. Preoperatively, there was significant difference in the amount of fluid resuscitation and infused erythrocyte suspension among group A, B and C （1687 ± 96 ml, 2096 ± 87 ml, 2976±93 ml, P〈0. 05; and 294±110 ml, 404±113 ml, 798±230 ml, P〈0. 05）. （2） The hemoglobin level in group C （94±45 g/L） was lower than that in group A （110±22 g/L） and group B （103±24 g/L） （P〈0.05）. However, there was no significant difference in the level of hemoglobin between group A and B. （3） There was no significant difference in the incidence of acute renal failure （ARF） among the 3 groups. The incidence of acute respiratory distress syndrome （ARDS） of group C （31.2%） was higher than that of group A （16.7%） and group B （18.2%） （P〈0.05）. The mortality of group C （34.4%） was higher than that of group A （12. 5% ） and group B （12. 1% ） （P〈0.05）. Conclusion： Preoperative limited resuscitation applied on patients with traumatic shock can reduce blood loss, incidence of ARDS and mortality.

Effect of preoperative limited fluid resuscitation to the patients with traumatic shock

ObjectiveTo investigate the effect of preoperative limited fluid resuscitation on the patients with traumatic shock.MethodsEighty-nine patients with multiple injuries complicating with shock were treated in Changhai Hospital between January 2002 to October 2005 and were divided into 3 groups according to the preoperative levels of systolic blood pressure (SBP). SBP of group A and group B were about 70 and 80 mmHg, respectively; and the SBP of group C was over 90 mmHg.Results(1) There was no significant difference in age, gender, and injury severity score (ISS), initiated resuscitation time and initiated operation time among the 3 groups. Preoperatively, there was significant difference in the amount of fluid resuscitation and infused erythrocyte suspension among group A, B and C (1687 ± 96 ml, 2096 ± 87 ml, 2976 ± 93 ml, P < 0.05; and 294 ± 110 ml, 404 ± 113 ml, 798 ± 230 ml, P < 0.05). (2) The hemoglobin level in group C (94 ± 45 g/L) was lower than that in group A (110 ± 22 g/L) and group B (103 ± 24 g/L) (P < 0.05). However, there was no significant difference in the level of hemoglobin between group A and B. (3) There was no significant difference in the incidence of acute renal failure (ARF) among the 3 groups. The incidence of acute respiratory distress syndrome (ARDS) of group C (31.2%) was higher than that of group A (16.7%) and group B (18.2%) (P < 0.05). The mortality of group C (34.4%) was higher than that of group A (12.5%) and group B (12.1%) (P < 0.05).ConclusionPreoperative limited resuscitation applied on patients with traumatic shock can reduce blood loss, incidence of ARDS and mortality.