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目的探讨限制性补液在非控制性创伤性失血性休克院前急救的应用,总结非控制性创伤性失血性休克的早期救治经验。方法对我市某急救中心2006年5月-2010年7月间270例非控制性创伤性失血性休克患者的临床资料进行回顾性分析,按休克程度进行分类,比较限制性补液方法与足量快速补液法,分析抢救成功率与死亡率。结果 178例患者应用限制性补液方法后,患者轻中度休克得到了良好控制,死亡率14%。足量快速补液法92例,死亡率19.5%。两组比较,P<0.05,存在显著性差异。结论在非控制性创伤性失血性休克院前急救处理时,既要强调尽早、尽量快速补液,同时应注意补液的量和补液方式。限制性补液法在非控制性创伤性失血性休克院前急救的应用中,可减少出血量,降低死亡率,具有重要的意义。
Objective To investigate the application of restrictive fluid replacement in pre-hospital care of patients with uncontrolled traumatic hemorrhagic shock and to summarize the experience of early treatment of uncontrolled traumatic hemorrhagic shock. Methods The clinical data of 270 patients with uncontrolled traumatic hemorrhagic shock in a certain emergency center in our city from May 2006 to July 2010 were retrospectively analyzed and classified according to the degree of shock. Rapid rehydration method, analysis of rescue success rate and mortality. Results 178 patients with restrictive rehydration method, mild to moderate shock was well controlled, the mortality rate was 14%. 92 cases of adequate rapid rehydration method, the mortality rate of 19.5%. The two groups, P <0.05, there is a significant difference. Conclusions In the pre-hospital emergency treatment of non-controlled traumatic hemorrhagic shock, it is necessary to emphasize as soon as possible, try to quickly rehydration, and should pay attention to the amount of fluid rehydration and rehydration methods. Restrictive rehydration method in non-controlled traumatic hemorrhagic shock prehospital emergency applications, can reduce the amount of bleeding, reduce mortality, is of great significance.