Smith J P, Bodai B I, Hill A S, Frey C F
J Trauma. 1985 Jan;25(1):65-70. doi: 10.1097/00005373-198501000-00011.
Prehospital resuscitation and stabilization of major trauma victims is increasingly employed. To evaluate the benefits of one such maneuver, fluid administration, we reviewed 52 consecutive trauma cases in which patients had a blood pressure of less than 100 mm Hg either at the scene or on arrival to hospital. In all cases, transport time to hospital was less than IV establishment time. Fluid volume infused had little influence on final outcomes. A percentage of patients with correctable surgical lesions might have been salvaged had prompt transport been instituted. Field maneuvers in critically injured patients should be minimized to decrease ultimate mortality.
院前对重大创伤患者的复苏和稳定治疗越来越常用。为评估其中一项操作——液体输注的益处，我们回顾了52例连续的创伤病例，这些患者在现场或入院时血压低于100毫米汞柱。在所有病例中，转运至医院的时间均短于建立静脉通路的时间。输注的液体量对最终结局影响不大。如果能迅速转运，一部分有可纠正外科损伤的患者可能会获救。对重伤患者的现场操作应尽量减少，以降低最终死亡率。
