CAJ | 학술논문

目的：对急性低血容量性休克初期进行限制性液体复苏过程中，观察不同液体对预后的影响。方法深圳市人民医院2012年1月~12月因创伤致低血容量性休克的患者40例，随机分成两组，进行限制性液体复苏，统计手术完成前输注的液体种类及量，分析输注液体与患者乳酸、机械通气时间、病死率、SOFA评分等的差异，进而评价在限制性液体复苏中应用不同复苏液体对预后的影响。结果在40例急性低血容量性休克患者中，单独应用晶体复苏组12例，联合应用晶体胶体复苏组28例，单独应用晶体组较联合应用晶体胶体组病死率明显增高P ＜0.05，机械通气时间延长P ＜0.05，乳酸水平及 SOFA 评分明显增高P ＜0.01。结论在急性低血容量性休克初期进行限制性液体复苏，晶体胶体联合应用较单独应用晶体可降低患者的病死率，能改善患者预后。
목적：대급성저혈용량성휴극초기진행한제성액체복소과정중，관찰불동액체대예후적영향。방법심수시인민의원2012년1월~12월인창상치저혈용량성휴극적환자40례，수궤분성량조，진행한제성액체복소，통계수술완성전수주적액체충류급량，분석수주액체여환자유산、궤계통기시간、병사솔、SOFA평분등적차이，진이평개재한제성액체복소중응용불동복소액체대예후적영향。결과재40례급성저혈용량성휴극환자중，단독응용정체복소조12례，연합응용정체효체복소조28례，단독응용정체조교연합응용정체효체조병사솔명현증고P ＜0.05，궤계통기시간연장P ＜0.05，유산수평급 SOFA 평분명현증고P ＜0.01。결론재급성저혈용량성휴극초기진행한제성액체복소，정체효체연합응용교단독응용정체가강저환자적병사솔，능개선환자예후。
objective To observe the influence of different liquid on prognosis of the patients who suffered from acute hypovolemic shock in restrictive fluid resuscitation treatment. Methods We analysis 40 patients during 2012.01-2012.12, who suffered from hypovolemic shock caused by trauma .We record the type and quantity of liquid we infused before surgery completion, analysis the difference between lactic acid, mechanical ventilation time, mortality, SOFA score, and then evaluate the influence of fluid on the prognosis of hypovolemic shock patients in restrictive resuscitation. Results In 40 cases of acute hypovolemic shock patients, simple to use crystal fluid resuscitation group is 12 cases, both use of crystal and colloid resuscitation group is 28 cases. Simple to use crystal group seems to be a significantly higher mortality P <0.05, prolonged mechanical ventilation,P <0.05, lactic acid level and SOFA score significantly higher P <0.01. Conclusion In the acute hypovolemic shock, use crystal and colloid to apply restrictive fluid resuscitation can reduce mortality and improve prognosis of patients.