Department of Emergency Center, The First People's Hospital of Wenling, Wenling, China.
Department of Emergency Center, The First People's Hospital of Wenling, Wenling, China.
Clinics (Sao Paulo). 2023 Nov 4;78:100300. doi: 10.1016/j.clinsp.2023.100300. eCollection 2023.
To investigate the changes in the coagulation function and hemodynamic parameters in patients with Hemorrhagic Traumatic Shock (HTS) after restrictive fluid resuscitation.
A total of 139 patients with HTS admitted to our hospital were enrolled, among which 69 HTS patients were divided into the control group and the remaining 70 HTS patients as the observation group. Patients in the control group underwent regular fluid resuscitation, while those in the observation group underwent restrictive fluid resuscitation.
During treatment, 70 patients in the observation group had a lower bleeding amount, infusion amount, and blood transfusion volume than those in the control group (p < 0.05). After treatment, patients in the observation group had better hemodynamic parameters and blood coagulation than those in the control group (p < 0.05), and the incidence rate in the observation group was only 12.9%, which was significantly lower than 60.87% in the control group, while the cure rate in the observation group was 100%, which was significantly higher than that in the control group (p < 0.05).
Restrictive fluid resuscitation could remarkably increase the cure rate and reduce the bleeding amount during HTS treatment, thereby benefiting the recovery of the patient's blood coagulation.
研究限制液体复苏后出血性创伤性休克(HTS)患者凝血功能和血流动力学参数的变化。
纳入我院收治的 HTS 患者共 139 例,其中 HTS 患者 69 例分为对照组,其余 70 例 HTS 患者为观察组。对照组患者进行常规液体复苏,观察组患者进行限制液体复苏。
治疗期间,观察组 70 例患者的出血量、输液量和输血量均低于对照组(p<0.05)。治疗后,观察组患者的血流动力学参数和凝血功能均优于对照组(p<0.05),观察组的发生率仅为 12.9%,明显低于对照组的 60.87%,而观察组的治愈率为 100%,明显高于对照组(p<0.05)。
限制液体复苏可显著提高 HTS 治疗的治愈率,减少出血量,有利于患者凝血功能的恢复。