Fluid resuscitation strategies for pediatric trauma with hemorrhage
10.3760/cma.j.issn.1673-4912.2025.01.004
- VernacularTitle:儿童创伤合并出血的液体复苏策略
- Author:
Jiru LI
1
;
Xiaodong ZHU
1
Author Information
1. 上海交通大学医学院附属新华医院儿急危重症医学科200092
- Publication Type:Journal Article
- Keywords:
Trauma;
Hemorrhage;
Fluid resuscitation;
Monitoring
- From:
Chinese Pediatric Emergency Medicine
2025;32(1):18-22
- CountryChina
- Language:Chinese
-
Abstract:
Hemorrhage is the primary early clinical manifestation in pediatric trauma patients and is the main cause of hypovolemic shock.The goal of fluid resuscitation is to optimize perfusion to terminal organs and provide adequate oxygen supply.During the resuscitation process,it is important to follow damage control surgery and damage control resuscitation protocols to prevent hypotension.It is recommended to administer low titer group O whole blood or component blood early in the resuscitation process,while minimizing the use of large volumes of crystalloid fluids.Continuous monitoring of the child’s condition is necessary during resuscitation,with particular attention to vital signs,laboratory tests,and imaging studies.Bedside ultrasound can quickly assess the injury site and changes in hemodynamics during resuscitation,providing a basis for precise individualized treatment.
