Effects of fluid resuscitation on thoracoabdominal injury combined with hemorrhagic traumatic shock
- VernacularTitle:胸腹联合伤合并创伤失血性休克的液体复苏治疗
- Author:
Zhi-Wei FAN
;
Xiao-Guang LU
;
Xin KANG
;
Wei-Guang LIU
;
Yi-Gang WANG
;
Dan WANG
;
Hong-Gang PANG
;
- Publication Type:Journal Article
- Keywords:
Thoracoabdominal injury;
Trauma;
Hemorrhagic shock;
Immediate fluid resuscitation;
Delayed fluid resuscitation
- From:
Chinese Journal of Emergency Medicine
2006;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study effects of fluid resuscitation on thoracoabdominal injury combined with hemorrhagic traumatic shock.Method A total of 98 patients,who were treated in Affiliated Zhongshan Hospital of Dalian University from November 2004 to December 2006,were retrospectively analyzed.The patients were diagnozed according to Surgery(fifth edition).Patients were divided into delayed fluid resuscitation group(n= 51)and immediate fluid resuscitation group(n=47).Patients in delayed fluid resuscitation group were given with balanced salt solution for the body to maintain basic requirements.Patients in immediate fluid resuscitation group were rapidly administered with a lot of isotonic crystaUoid and(or)colloid solution after admission. Hemoglobin,platelet count,hematocrit,blood lactic acid,basedeficit,preoperative resuscitation time and mortality were compared between the two groups.Paired t test and variance analysis or x~2 test were used.Results The transfusion fluid volume of delayed group and immediate group was(1586?346)ml,(3520?575)ml, respectively,with P value
