CAJ | 학술논문

目的：探讨不同液体的复苏方法对救治创伤失血性休克(HTS)的临床效果，总结临床经验。方法用不同液体复苏方法救治HTS患者300例，按入院的先后顺序随机分为限制性液体复苏组(A组)、高渗盐溶液复苏组(B组)和常规液体复苏组(C组)，每组100例，对三组患者复苏前后的血清乳酸值、碱剩余值、输入液体量、存活率，进行统计学分析。结果 A组、B组与C组间液体输入量比较差异有统计学意义， P <0.05，A组与B组间差异有统计学意义P <0.05，A组、B组与C组间复苏前的碱剩余值、血乳酸值比较无明显差异P >0.05，无统计学意义；复苏12、24h的碱剩余值、血乳酸比较存差异有统计学意义，P <0.05。A组、B组与C组间存活率比较存差异有统计学意义P <0.05。结论采用限制性液体复苏方法对治疗HTS均有显著疗效，能改善组织器官灌注，明显增加循环血量，降低死亡率，提高治愈率。
목적：탐토불동액체적복소방법대구치창상실혈성휴극(HTS)적림상효과，총결림상경험。방법용불동액체복소방법구치HTS환자300례，안입원적선후순서수궤분위한제성액체복소조(A조)、고삼염용액복소조(B조)화상규액체복소조(C조)，매조100례，대삼조환자복소전후적혈청유산치、감잉여치、수입액체량、존활솔，진행통계학분석。결과 A조、B조여C조간액체수입량비교차이유통계학의의， P <0.05，A조여B조간차이유통계학의의P <0.05，A조、B조여C조간복소전적감잉여치、혈유산치비교무명현차이P >0.05，무통계학의의；복소12、24h적감잉여치、혈유산비교존차이유통계학의의，P <0.05。A조、B조여C조간존활솔비교존차이유통계학의의P <0.05。결론채용한제성액체복소방법대치료HTS균유현저료효，능개선조직기관관주，명현증가순배혈량，강저사망솔，제고치유솔。
Objective To explore different liquids recovery methods for traumatic hemorrhagic shock (HTS). Methods 300 patients admitted in between June 2008 and December 2012 were randomly divided into three groups based on their respective time to be admitted, group A (restricted fluid resuscitation), group B (hypertonic saline solution resuscitation), and group C (conventional fluid resuscitation group), with 100 in each group. A comparison was made between the groups on serum lactate, base excess values, and amount of the liquid injected, survival rate. Results A statistical difference was reflected between the three groups ,P <0.05; a significant difference was also reflected between group A and group B,P <0.05; a statistical difference was found between group A/group B and group C on base excess values before recovery; no significant difference was found for blood lactate values ,P > 0.05; a statistical difference was also found between group A, group B and group C in survival rate ,P <0.05. Conclusion Fluid resuscitation methods used for HTS demonstrated carry out significant effort which may improve tissue and organ perfusion, increase blood circulation, and reduce mortality.