Influence of preoperative limited fluid resuscitation on traumatic shock patients

AIM:To investigate the influence of preoperative limited fluid resuscitation on traumatic shock patients.METHODS:Ninety-six traumatic shock patients complicated with uncontrolled hemorrhage were randomly divided into 3 groups according to the level of systolic blood pressure(SBP) sustained by different fluid resuscitation:group A(around 70 mmHg),group(around 80 mmHg) and group C(over 90 mmHg).General conditions and fluid resuscitation measurement before operation,and the incidence of organ dysfunction(OD) and mortality during hospital stay were compared.RESULTS:(1)There was no significant difference in age,gender,injury severity score(ISS),initiated resuscitation time,initiated operation time and base deficit among the three groups.Before operation,there was significant difference in the volume of fluid resuscitation and the volume of infused erythrocyte suspension between the 3 groups.The volume of fluid resuscitation of group A,group B and group C was respectively(2487±96),(2696±87) and(3200±95) mL(P0.05),with no significant difference between group A and group B(P0.05).The volume of infused erythrocyte suspension of Group A,group B and group C was respectively(300±210),(416±163) and(800±130) mL(P0.05),with no significant difference between group A and group B(P0.05).(2)The hemoglobin level in group C(90±45) g/L was lower than that in group A(115±32) g/L,and group B(110±34) g/L,(P0.05),with no significant difference between group A and group B(P0.05).(3)The incidence of OD in group C was higher than that in group A and group B(45.5%,15.6%,22.5%,P0.05),with no significant difference between group A and group B(P0.05).The mortality in group C was higher than that in group A and group B,(39.3%,9.37%,16.1%,P0.05),with no significant difference between group A and group B(P0.05).CONCLUSION:The results of our study show that the preoperative limited fluid resuscitation can reduce the volume of bleeding,the incidence of OD and mortality rate in traumatic shock patients with uncontrolled hemorrhage.