నైరూప్య

Application value of limited fluid resuscitation in early treatment of hemorrhagic shock

Qiuping Zou, Qinghua Li, Jiean Liu, Yu Lei, Xiaolin Yuan, Wenzheng Chen, Jianqiang Li

Objective: This study aims to explore clinical results of limited fluid resuscitation in early treatment of hemorrhagic shock and its effects on blood coagulation and arterial blood gas.

Methods: From June 2015 to April 2017, a total of 98 cases of hemorrhagic shock patients were selected in our hospital and divided into study group and control group according to the time of admission with 49 patients for each group. Patients in the control group received single positive capacity recovery method at the early stage of resuscitation while the patients in the study group were treated with limited fluid resuscitation followed by the positive capacity recovery method. Success rate, mortality and complication rate of shock therapy, blood coagulation function and blood gas index were compared in the two groups.

Results: Compared with the control group, the success rate of the study group was significantly higher and the mortality and the incidence of complications lower of statistical difference, P<0.05. What’s more, with different treatment methods, the blood gas index and test results of coagulation function in the study group were significantly better than those of the control group of statistical difference, P<0.05.

Conclusion: Limited fluid resuscitation is worthy of promotion and clinical application with its desirable effects in early treatment of hemorrhagic shock. It can effectively raise the success rate and facilitate the recovery of blood gas index and coagulation function.