颅脑损伤并创伤失血性休克的早期液体复苏探讨
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- 论文作者：张风涛 ; 陈福芹
- 年：2016
- 作者机构：肥城矿业中心医院;
- 论文关键词：颅脑损伤 ; 创伤失血性休克 ; 液体复苏
- 英文论文关键词：brain injury ; traumatic hemorrhagic shock ; fluid resuscitation
- 会议召开时间：2016-11-25
- 会议录名称：湖南中医药大学学报2016/专集：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会论文集
- 语种：中文
- 分类号：R651.15
- 学会代码：HNZY
- 会议名称：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会
- 会议地点：中国广东珠海
- 主办单位：国际数字医学会、Digital Chinese Medicine
- 学会名称：湖南中医药大学期刊杂志社
- 页数：1
- 文件大小：2015k
- 原文格式：D
- 会议级别：全国
摘要
目的:对颅脑损伤并创伤失血性休克的液体复苏情况予以探究并剖析。方法:随机选取66例颅脑损伤并创伤失血性休克患者作为实验对象,均为我院自2014年4月至2015年4月期间所接收,将其按照人数相等的原则,均分成两组,就积极性液体复苏治疗(对照组,n=33)与限制性液体复苏治疗(观察组,n=33)的临床疗效展开探讨。结果:从液体用量方面分析,观察组显著少于对照组,组间差异明显,经t检验,证明有统计学研究意义,P<0.05.从治疗半月后的死亡率方面分析,观察组为18.18%,对照组为42.42%,两组对比,组间差异明显,有统计学研究意义,P<0.05.从复苏后6h的PH值方面分析,观察组与对照组之间的PH值差异不显著,没有统计学研究意义,P>0.05.结论:限制性液体复苏治疗颅脑损伤并创伤失血的应用效果较好,该方案以较少的液体量,提高了患者的生存率,在临床上有推广和普及的价值。
Objective: To investigate and analyze the fluid resuscitation of traumatic brain injury and traumatic hemorrhagic shock. Methods: 66 patients with traumatic brain injury and traumahemorrhagic shock patients as the experimental object, both in our hospital from April 2014 to 2015 years during the month of April the received, the in accordance with the principle of equal numberswere divided into two groups, positive fluid resuscitation treatment(control group, n = 33) and limit fluid resuscitation(observation group, n = 33) the clinical curative effect of launches the discussion. Results: from the analysis of liquid dosage, the observation group was significantly less than the control group, the differences between groups were tested by T, prove to be statistically significance, P<0.05. analysis from the aspects of treatment of a half months after the mortality rate was 18.18% in the observation group, the control group was 42.42%, comparing the two groups, the differencesbetween groups were statistically significant, the significance of the research. From the P<0.05. analysis of 6h p H after resuscitation, p H differences between the observation group and the control groupwas not significant, no statistical significance, P>0.05. conclusion: good application effect of limited fluid resuscitation in treatment of traumatic brain injury and trauma hemorrhage, the less amount ofliquid, improve the survival rate of patients, with promotion and popularization the value in clinical practice.
Objective: To investigate and analyze the fluid resuscitation of traumatic brain injury and traumatic hemorrhagic shock. Methods: 66 patients with traumatic brain injury and traumahemorrhagic shock patients as the experimental object, both in our hospital from April 2014 to 2015 years during the month of April the received, the in accordance with the principle of equal numberswere divided into two groups, positive fluid resuscitation treatment(control group, n = 33) and limit fluid resuscitation(observation group, n = 33) the clinical curative effect of launches the discussion. Results: from the analysis of liquid dosage, the observation group was significantly less than the control group, the differences between groups were tested by T, prove to be statistically significance, P<0.05. analysis from the aspects of treatment of a half months after the mortality rate was 18.18% in the observation group, the control group was 42.42%, comparing the two groups, the differencesbetween groups were statistically significant, the significance of the research. From the P<0.05. analysis of 6h p H after resuscitation, p H differences between the observation group and the control groupwas not significant, no statistical significance, P>0.05. conclusion: good application effect of limited fluid resuscitation in treatment of traumatic brain injury and trauma hemorrhage, the less amount ofliquid, improve the survival rate of patients, with promotion and popularization the value in clinical practice.
引文
[1]周姚,李金林,邹玲,等.早期目标导向液体复苏在重型颅脑损伤合并失血性休克治疗中的应用[J]江苏医药,2012,38(12):1464-1465.
[2]刘云松,肖进,唐丽群,等.合并伤对重型颅脑损伤患者近期预后的影响分析[J].国临床神经外科杂志,2012,17(06):334-335.
[3]李徐,徐震,陈祖鹏.早期限制性液体复苏在重型颅脑损伤合并创伤性失血性休克救治中的应用[J].浙江创伤外科,2011,16(04):479-481.
[4]梁佳村.重型颅脑损伤合并创伤性失血性休克的抢救治疗[J].健康必读旬刊,2013,12(05):181-182.
[5]巩勇.重型颅脑损伤合并创伤性失血性休克患者行早期限制性液体复苏的效果观察[J].医学理论与实践,2015,01(10):1307-1308.
[2]刘云松,肖进,唐丽群,等.合并伤对重型颅脑损伤患者近期预后的影响分析[J].国临床神经外科杂志,2012,17(06):334-335.
[3]李徐,徐震,陈祖鹏.早期限制性液体复苏在重型颅脑损伤合并创伤性失血性休克救治中的应用[J].浙江创伤外科,2011,16(04):479-481.
[4]梁佳村.重型颅脑损伤合并创伤性失血性休克的抢救治疗[J].健康必读旬刊,2013,12(05):181-182.
[5]巩勇.重型颅脑损伤合并创伤性失血性休克患者行早期限制性液体复苏的效果观察[J].医学理论与实践,2015,01(10):1307-1308.