Restrictive capacity resuscitation in pelvic type of severe multiple trauma hemorrhagic shock
10.3969/j.issn.1009-0754.2015.03.018
- VernacularTitle:骨盆型严重多发伤失血性休克限制性容量复苏的效果观察
- Author:
Jun LI
1
;
Lei SUN
;
Fubin ZHANG
Author Information
1. 解放军第一0五医院急诊科
- Keywords:
Pelvis;
Multiple trauma;
Limited capacity resuscitation
- From:
Journal of Navy Medicine
2015;(3):243-245,277
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effect of restrictive capacity resuscitation on pelvic type of severe multiple trauma hem-orrhagic shock.Methods In accordance with different methods of resuscitation, 54 enrolled patients were divided into 2 groups:group A (26 cases) and group B (28 cases).The patients in group A were treated with restrictive capacity resuscitation while the patients in group B were treated with conventional full volume resuscitation.Upon completion of resuscitation, clinical data of the 2 groups were an-alyzed accordingly.Results In the patients of group A, resuscitation time was (98.77 ±42.63) min, volume of fluid resuscitation was (983.64 ±326.73) mL, definitive surgical time was (10.28 ±1.23) d, days of hospitalization were (48.37 ±21.36) d.After resus-citation, venous blood routine tests were:HCT (29.64 ±3.26)%, PLT (134.56 ±21.37) 100 ×10/L.Data of blood coagulation function were:PT (16.46 ±6.70) s and APTT (34.65 ±6.23).Statistical significance could be noted in the above data, as compared with those of group B (t=12.274, 14.283, 6.353, 5.639, 8.643, 6.785, 5.318, 4.674)(P <0.05).No statistical significance could be seen in the scores of ISS, mean arterial pressure ( MAP) before resuscitation and HGB, when comparisons were made between the two groups (P>0.05).Conclusion Restrictive capacity resuscitation was a good treatment method for pelvic type of severe multi-ple trauma hemorrhagic shock, and was worth clinical promotion.
