目的：分析限制液体复苏与常规液体复苏在严重闭合性创伤失血性休克院前抢救中的效果。方法76例严重闭合性创伤患者，随机分为两组，各38例。对照组应用常规液体复苏，观察组应用限制液体复苏，对比两组患者入院后的临床特征、治疗情况及病死率、感染发生率及器官衰竭情况。结果观察组输液量、院前复苏时间明显少于对照组(P<0.05)；观察组血制品输入量少于对照组，血红蛋白升高情况及凝血功能好转优于对照组(P<0.05)；观察组感染发生率及器官衰竭发生率明显低于对照组(P<0.05)。结论应用限制液体复苏在严重闭合性创伤失血性休克院前急救过程中，能有效改善凝血功能，降低感染发生率，具有良好的临床效果。%Objective To analyze the effects of limited fluid resuscitation and conventional fluid resuscitation in pre-hospital resuscitation of severe closed traumatic hemorrhagic shock. Methods A total of 76 patients with severe closed traumatic hemorrhagic shock were randomly divided into two groups with 38 cases in each group. Control group received conventional fluid resuscitation, and observation group received limited fluid resuscitation. Comparisons were made on clinical characteristics, treatment situation, mortality, incidence of infection, and organ failure condition between the two groups. Results The observation group had obviously less infusion quantity and pre-hospital revive time than the control group (P<0.05). Input quantity of blood product was fewer in the observation group than in the control group, and the improved levels of hemoglobin and coagulation function were all better than the control group (P<0.05). The observation group also had remarkably lower incidences of infection and organ failure than the control group (P<0.05). Conclusion Application of limited fluid resuscitation can effectively improve coagulation function and decrease incidence of infection in pre-hospital resuscitation of severe closed traumatic hemorrhagic shock. This method provides precise clinical effect.
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