Clinical Discussion of Limited Fluid Resuscitation on Traumatic Hemorrhagic Shock
Zhiyong Bu
Abstract
Zhiyong Bu
Abstract
Objective:To investigate the effect of fluid resuscitation in treatment of patients with severe traumatic hemorrhagic shock.Methods:187 cases of patients with severe hemorrhagic traumatic shock treated in our department between Jan.2001 and Sep.2005 were analysed retrospectively,and the relationship between different fluid resuscitation methods and hemorrhagic traumatic shock was summarised.Results:The traumatic mortality and the rate of complication in survival cases in adequate resuscitation group were higher than those of limited resuscitation group(P0.05).The levels of Hgb,PC and Hct of adequate resuscitation group were significantly lower than those of limited resuscitation group.Conclusion:Limited fluid resuscitation can reduce the mortality of severe hemorrhagic traumatic shock,and reduce the total complication in survival cases.
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Objective:To investigate the effect of fluid resuscitation in treatment of patients with severe traumatic hemorrhagic shock.Methods:187 cases of patients with severe hemorrhagic traumatic shock treated in our department between Jan.2001 and Sep.2005 were analysed retrospectively,and the relationship between different fluid resuscitation methods and hemorrhagic traumatic shock was summarised.Results:The traumatic mortality and the rate of complication in survival cases in adequate resuscitation group were higher than those of limited resuscitation group(P0.05).The levels of Hgb,PC and Hct of adequate resuscitation group were significantly lower than those of limited resuscitation group.Conclusion:Limited fluid resuscitation can reduce the mortality of severe hemorrhagic traumatic shock,and reduce the total complication in survival cases.
Key concepts: Resuscitation, Medicine, Hemorrhagic shock, Traumatic Shock, Shock (circulatory), Complication, Anesthesia, Surgery