Role of fluid therapy in treatment of septic shock in children
10.3969/j.issn.1000-3606.2010.01.005
- VernacularTitle:不同液体疗法在治疗小儿感染性休克中的作用
- Author:
Weiguo YANG
;
Yanxia HE
;
Xiuli YUAN
;
Queyun ZHOU
- Publication Type:Journal Article
- Keywords:
septic shock;
fluid resuscitation;
children
- From:
Journal of Clinical Pediatrics
2010;(1):18-20
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the role of fluid therapy in treatment of septic shock in children.Methods A total of 48 pediatric patients with septic shock were enrolled.Twenty-seven patients were treated with volume expansion and 21 patients were treated with fluid resuscitation.There were no differences in use of antibiotics,inotropic and vasoactive agent in two groups.The time needed for haemodynamic stability,occurrence of pulmonary edema.length of PICU stay,and mortality were compared between two groups.Results Compared with volume expansion group,the time needed for haemodynamic stability significantly decreased in fluid resuscitation group ((216.10± 168.13) minutes vs (121.63 ± 75.59) minutes) (P < 0.05). There were no significant difference in occurrence of pulmonary edema between volume expansion group and fluid resuscitation group (14.8% vs 9.5% . P > 0.05) .Compared with volume expansion group,length of PICU stay significantly decreased in fluid resuscitation group ((6.188 ±3.250) days vs (3.944±2.711) days,P < 0.05).Compared with volume expansion group,mortality significantly decreased in fluid resuscitation group (40.7% vs 14.3%,P < 0.05) . Conclusions Rapid fluid resuscitation was associated with early reach of haemodynamic stability,short stay in PICU,improved survival rate and no increase in the risk of complication in pediatric patient with septic shock.
