CAJ | 학술논문

目的：探讨严重骨盆骨折合并失血性休克的不同补液方式48小时所需血量。方法：分析我院近年救治的 C 型骨盆骨折合并休克的患者25例，将上述患者分成常规快速液体复苏组和控制液体复苏组，比较两组48小时输血总量。结果：控制液体复苏组48小时总输血量明显低于快速液体复苏组（P＜0．05）。结论：严重骨盆骨折合并失血性休克的患者在出血未得到有效控制前，控制液体复苏可以有效提高抢救成功率，降低输血总量，减少并发症。
목적：탐토엄중골분골절합병실혈성휴극적불동보액방식48소시소수혈량。방법：분석아원근년구치적 C 형골분골절합병휴극적환자25례，장상술환자분성상규쾌속액체복소조화공제액체복소조，비교량조48소시수혈총량。결과：공제액체복소조48소시총수혈량명현저우쾌속액체복소조（P＜0．05）。결론：엄중골분골절합병실혈성휴극적환자재출혈미득도유효공제전，공제액체복소가이유효제고창구성공솔，강저수혈총량，감소병발증。
Objective To discuss blood transfusion volume in 48 hours between different liquid resuscitation strategies in pelvic fracture.Methods:25 patients with C type pelvic fracture and hemorrhagic shock were admitted into our hospital and were divided into regular fast liquid resuscitation group and con-trolled liquid resuscitation group.The total blood transfusion volume within 48 hours of the two groups were compared.Results:The total blood transfusion vol-ume within 48 hours in the controlled liquid resuscitation group were remarkably lower than those in the regular fast liquid resuscitation group ( P <0.05). Conclusion:Before stanching the bleeding for patients with serious pelvic fracture and hemorrhagic shock, the liquid resuscitation control can effectively increase the success-full rescue rate, decrease the total blood transfusion and reduce complications.