Evaluation of effect of early limited fluid resuscitation in treatment of severe pelvic fracture accompanied with traumatic hemorrhagic shock
- VernacularTitle:早期使用限制性液体复苏治疗重度骨盆骨折并创伤失血性休克的疗效评价
- Author:
Qiang HUANG
;
Zili CHEN
;
Xiujiang LI
- Publication Type:Journal Article
- Keywords:
Pelvic fractures;
Shock,traumatic,hemorrhagic;
Limited fluid resuscitation
- From:
Chinese Journal of Trauma
2008;24(4):271-273
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of early limited fluid resuscitation in treatment of severe pelvic fracture accompanied with traumatic hemorrhagic shock. Methods A retrospective study was done on 96 patients with severe pelvic fractures accompanied with traumatic hemorrhagic shock admitted into hospital from January 2002 to December 2006. Of all, 55 patients ( routine resuscitation group)were dealt with routine fluid resuscitation and 41 (limited resuscitation group) with limited fluid resuscitation. The injury severity, degree of shock, start time of resuscitation, transfusion volume were statistically analyzed and compared in two groups. Results Routine resuscitation group received transfusion volume of (3 432 ± 1 156) ml, with cure rate of 64% and mortality rate of 36% ; while limited resuscitation group received transfusion volume of (2 685 ± 524) ml, with cure rate of 83% and mortality rate of 17%. There was statistical difference between both groups ( P ＜ 0.05 ). Conclusion Limited fluid resuscitation can improve cure rate of severe pelvic fracture accompanied with traumatic hemorrhagic shock.
