Clinical study on delayed resuscitation in the treatment of activity hemorrhagic shock
Pan Jiao
Abstract
Pan Jiao
Abstract
Objective:To investigate the application of clinical practice of the delayed resuscitation in the treatment of activity hemorrhagic shock.Methods:recovery of delayed resuscitation group(A group) to restrict the infusion fluid volume of crystalloid and colloid fluid in fluid resuscitation,the volume expansion rely more on blood and plasma.Blood pressure control targets for systolic blood pressure 80~90 mm Hg(1 mm Hg=0.133 kPa),for which allows hypotension;B group,without limiting the infusion volume of crystalloid and colloid fluid,and the fluid resuscitation to be quickly.Infusion with crystalloid and colloid fluid for the based fluid,blood and plasma for the assistance,not the ceiling to control blood pressure.Results:The survival rate of A group was significantly higher than the rate of the traditional group(B group).Conclusion:To distincte and recognise the specific characteristics of the serious uncontroled activity hemorrhagic shock,as well as the specificity of the treatment.To apply the method of delayed resuscitation,expected to improve the cure rate of such critically ill patients.
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Objective:To investigate the application of clinical practice of the delayed resuscitation in the treatment of activity hemorrhagic shock.Methods:recovery of delayed resuscitation group(A group) to restrict the infusion fluid volume of crystalloid and colloid fluid in fluid resuscitation,the volume expansion rely more on blood and plasma.Blood pressure control targets for systolic blood pressure 80~90 mm Hg(1 mm Hg=0.133 kPa),for which allows hypotension;B group,without limiting the infusion volume of crystalloid and colloid fluid,and the fluid resuscitation to be quickly.Infusion with crystalloid and colloid fluid for the based fluid,blood and plasma for the assistance,not the ceiling to control blood pressure.Results:The survival rate of A group was significantly higher than the rate of the traditional group(B group).Conclusion:To distincte and recognise the specific characteristics of the serious uncontroled activity hemorrhagic shock,as well as the specificity of the treatment.To apply the method of delayed resuscitation,expected to improve the cure rate of such critically ill patients.
Key concepts: Resuscitation, Medicine, Hemorrhagic shock, Shock (circulatory), Blood pressure, Anesthesia, Blood volume, Internal medicine