Therapeutic effects of limited fluid resuscitation on hemorrhagic traumatic shock without controlling bleeding
Shaoping Li
Abstract
Shaoping Li
Abstract
Objective To explore the therapeutic effect of limited fluid resuscitation in a mode of hemorrhagic traumatic shock without controlling bleeding.Method 536 patients were retrospectively analyzed and compared their healing rate,incidence of MODS and ARDS and mortality rate in regular fluid resuscitation group(n=282) and limited fluid resuscitation group(n=254).Results Survival rate in regular fluid resuscitation group was 63.5%, mortality rate was 36.5%, incidence of MODS was 35.1%, incidence of ARDS was 23.8%,while in limited fluid resuscitation group 82.7%, 17.3%, 16.5%, 8.7% respectively. There was significant difference between two groups (P0.05).Conclusion Limited fluid resuscitation is more rational to improve the prognosis of patients of traumatic shock without controlling bleeding than regular fluid resuscitation.
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Objective To explore the therapeutic effect of limited fluid resuscitation in a mode of hemorrhagic traumatic shock without controlling bleeding.Method 536 patients were retrospectively analyzed and compared their healing rate,incidence of MODS and ARDS and mortality rate in regular fluid resuscitation group(n=282) and limited fluid resuscitation group(n=254).Results Survival rate in regular fluid resuscitation group was 63.5%, mortality rate was 36.5%, incidence of MODS was 35.1%, incidence of ARDS was 23.8%,while in limited fluid resuscitation group 82.7%, 17.3%, 16.5%, 8.7% respectively. There was significant difference between two groups (P0.05).Conclusion Limited fluid resuscitation is more rational to improve the prognosis of patients of traumatic shock without controlling bleeding than regular fluid resuscitation.
Key concepts: Resuscitation, Medicine, ARDS, Traumatic Shock, Shock (circulatory), Incidence (geometry), Anesthesia, Survival rate