2010Practical Journal of Cardiac Cerebral Pneumal and Vascular DiseaseRequires access

Traumatic Hemorrhagic Shock Resuscitation Efficacy

Hhang Zhao-yun

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Abstract

Objective To explore the therapeutic effect of limited fluid resuscitation and Aggressive fluid resuceitafon in traumatic hemorrhagic shock.Methods Divided hemorrhagic shock trauma patients randomly into limited fluid resuscitation recovery group,aggressive fluid resuceitafon,hypertonic group,limited liquid hypertonic Group,Observe the preoperative patient death rate,last 24 hours of inner death rate and the occurrence rate of multiple organ fail(MODS),impatient embarrassed breath synthesis collect(ARDS)and wait for an index to carry out parallel analysis.Results Limited fluid resuscitation group mortality rate was 32.5%,ARF 3 cases,DIC 4 cases,ARDS 5 cases,MODS 4 cases;hypertonic limited fluid resuscitation mortality rate was 30%,ARF 2 cases,DIC 2 cases,ARDS 3 cases,MODS 3 cases;limited fluid resuscitation group mortality rate was 20%,ARF 1 cases,DIC 1 cases,ARDS 2 cases,MODS 2 cases;restrictions hypertonic fluid resuscitation group mortality rate was 17.5%,ARF 1 cases,DIC 0 cases,ARDS 1 cases,MODS 0 cases.Conclusion Limited hypertonic fluid resuscitation treatment can reduce the uncontrolled bleeding in patients with the mortality rate,high exudate restrictive MODS and can reduce the incidence of ARDS,improve it's cure rate.

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Objective To explore the therapeutic effect of limited fluid resuscitation and Aggressive fluid resuceitafon in traumatic hemorrhagic shock.Methods Divided hemorrhagic shock trauma patients randomly into limited fluid resuscitation recovery group,aggressive fluid resuceitafon,hypertonic group,limited liquid hypertonic Group,Observe the preoperative patient death rate,last 24 hours of inner death rate and the occurrence rate of multiple organ fail(MODS),impatient embarrassed breath synthesis collect(ARDS)and wait for an index to carry out parallel analysis.Results Limited fluid resuscitation group mortality rate was 32.5%,ARF 3 cases,DIC 4 cases,ARDS 5 cases,MODS 4 cases;hypertonic limited fluid resuscitation mortality rate was 30%,ARF 2 cases,DIC 2 cases,ARDS 3 cases,MODS 3 cases;limited fluid resuscitation group mortality rate was 20%,ARF 1 cases,DIC 1 cases,ARDS 2 cases,MODS 2 cases;restrictions hypertonic fluid resuscitation group mortality rate was 17.5%,ARF 1 cases,DIC 0 cases,ARDS 1 cases,MODS 0 cases.Conclusion Limited hypertonic fluid resuscitation treatment can reduce the uncontrolled bleeding in patients with the mortality rate,high exudate restrictive MODS and can reduce the incidence of ARDS,improve it's cure rate.

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Available abstract

Objective To explore the therapeutic effect of limited fluid resuscitation and Aggressive fluid resuceitafon in traumatic hemorrhagic shock.Methods Divided hemorrhagic shock trauma patients randomly into limited fluid resuscitation recovery group,aggressive fluid resuceitafon,hypertonic group,limited liquid hypertonic Group,Observe the preoperative patient death rate,last 24 hours of inner death rate and the occurrence rate of multiple organ fail(MODS),impatient embarrassed breath synthesis collect(ARDS)and wait for an index to carry out parallel analysis.Results Limited fluid resuscitation group mortality rate was 32.5%,ARF 3 cases,DIC 4 cases,ARDS 5 cases,MODS 4 cases;hypertonic limited fluid resuscitation mortality rate was 30%,ARF 2 cases,DIC 2 cases,ARDS 3 cases,MODS 3 cases;limited fluid resuscitation group mortality rate was 20%,ARF 1 cases,DIC 1 cases,ARDS 2 cases,MODS 2 cases;restrictions hypertonic fluid resuscitation group mortality rate was 17.5%,ARF 1 cases,DIC 0 cases,ARDS 1 cases,MODS 0 cases.Conclusion Limited hypertonic fluid resuscitation treatment can reduce the uncontrolled bleeding in patients with the mortality rate,high exudate restrictive MODS and can reduce the incidence of ARDS,improve it's cure rate.

Key concepts: Medicine, Resuscitation, ARDS, Hypertonic saline, Mortality rate, Shock (circulatory), Anesthesia, Survival rate

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