Effects of early fluid resuscitation strategy on clinical prognosis in traumatic shock patients
10.3760/cma.j.issn.1673-4203.2009.08.012
- VernacularTitle:创伤性休克早期液体复苏策略对临床预后的影响
- Author:
Qiang ZAN
;
Bo LIU
;
Renchun HUANG
;
Yongming YAO
- Publication Type:Journal Article
- Keywords:
traumatic shock;
fluid resuscitation;
prognosis
- From:
International Journal of Surgery
2009;36(8):531-534
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the effects of two different fluid resuscitation methods on early resuscitation and clinical prognosis in traumatic shock patients. Methods One hundred and twenty-six patients were treated with two different fluid resuscitation methods in traumatic shock (TS). These patients were randomly divided into 2 groups according to the strategy: the conventional resuscitation group (conventional group, 66 cases), the hypertouic saline solution resuscitation group (hypertonic saline group, 60 cases).The heart rate, blood pressure, breath, blood Na+ ,blood Cl-, the original thrombin time before and after the resuscitation and the syndrome were observed and analyzed. Results The input in the conventional group was (3000±500) mL, in the hypertonic saline group was (2000±200) mL. The difference of the input between the two groups was significant (P < 0. 05). The difference of the heart rate, blood pressure,breath, and the original thrombin time before and after half hour to one hour of the resuscitation in the two groups was not significant (P<0.05). The difference of the blood NA+, blood CL- and the original thrombin time before and after half hour to one hour of the resuscitation in the two groups was not significant (P <0. 05). The difference of the ARDS incidence, MODS incidence, cure rate and death rate from onset of the diseases to hospitalization in the two groups was significant (P <0. 05). Conclusions The fluid resuscitation strategy with hypertonic saline in early period of traumatic shock is efficient, which can work well with low fluid quantity, enhance blood pressure in short time, improve breath quality, save time for the operation of the primary injury, heighten the resuscitation rate, decrease the syndrome incidences and the death rate. The early fluid resuscitation strategy is worthy of clinical application and popularization.
