限制性体液复苏治疗40例失血性休克的临床分析

目的观察限制性体液复苏对于失血性休克患者症状的改善与治疗情况并对其进行临床分析。方法以随机取样的方法选取就诊于我院的失血性休克患者40例，并进行回顾性分析和讨论。40例患者均为接受过限制性体液复苏后救治的患者，观察患者之间的平均输液量、并发症（ARDS、MODS、DIC、ARF）发生率以及各项实验室指标，包括血气碱剩余值（BE）、血小板计数（PLT）、血红蛋白（Hb）、凝血酶原时间（PT）、红细胞压积（Hct）等，并根据其严重程度影响死亡率结果进行分析。结果患者在进行救治后，各方面恢复良好，平均输液量、各项并发症（ARDS、MODS、DIC、ARF）发生率以及各项实验室指标也较为理想，其中2例重度休克患者因病情严重导致临床救治死亡，疗效较轻、中度患者的预后要差。结论限制性体液复苏在治疗失血性休克的方面充分体现了优越性，疗效优于常规体液复苏治疗，且并发症发生率降低，患者存活率升高，在临床上具有积极的作用和重要的意义。

Clinical analysis of 40 cases of restrictive fluid resuscitation treatment and hemorrhagic shock

Objective To observe and discuss restrictive fluid resuscitation is used in the treatment of the curative et- fect of hemorrhagic shock. Methods Chosen 40 cases of patients who have hemorrhagic shock from our hospital by the method of random sampling, and did some retrospectively analysis and discussion. Patients were all accepted the re- strictive fluid resuscitation after treatment,observed the infusion quantity,complications ,mortality and various laborato- ry index between the patients, including the BE,PLT,Hb,PT, Hct and so on,and analyzed according to its severity in- fluence mortality results. Results Patients after treatment ,had good recovery, average infusion quantity, the incidence of various complications and mortality rates were all good, but two cases of severe shock patients with severe clinical treatment leads to death. The effect was worse than light, the prognosis of patients. Conclusion Restrictive fluid resus- citation fully embodies its superiority in the treatment of hemorrhagic shock, its curative effect is better than the con- ventional fluid resuscitation. And it reduces the incidence of complications, increasing the patient survival rate. It has positive function and important significance in clinic.