纠正亚低温联合限制性液体复苏在严重腹部创伤合并失血性休克中的应用

摘要

目的：：探讨纠正亚低温联合限制性液体复苏在严重腹部创伤合并失血性休克的应用效果。方法：回顾性分析150例严重腹部创伤合并失血性休克患者,其中采用纠正亚低温联合限制性液体复苏者50例( A组),限制性液体复苏者50例( B组),传统液体复苏者50例( C组)。对比3组患者的输液量、凝血酶原时间( PT)、患者存活率、病死率及并发症发生情况。结果：3组患者术前输液量及PT 差异均有统计学意义(P0.05)。结论：纠正亚低温联合限制性液体复苏可改善严重腹部创伤合并失血性休克患者的凝血功能,降低患者病死率,值得临床推广。%Objective:To investigate the application effects of subhypothcrmia correction combined with limited liquid resuscitation in severe abdominal trauma complicated with hemorrhagic shock. Methods:The clinical data of 150 patients with severe abdominal trauma complicated with hemorrhagic shock were retrospectively analyzed. Fifty cases were treated with subhypothcrmia correction combined with limited liquid resuscitation( group A) ,50 cases were treated with limited liquid resuscitation( group B) ,and 50 cases were treated with traditional liquid resuscitation ( group C ) . The amount of infusion and prothrombin time ( PT ) , survival rate, incidence of complication and mortality between three groups were compared. Results:The differences of the preoperative infusion amount and PT between three groups were statistically significant(P0. 05). Conclusions:The subhypothcrmia correction combined with limited liquid resuscitation can improve the blood coagulation function, and reduce the mortality of patients with severe abdominal trauma complicated with hemorrhagic shock,which is worthy of clinical promotion.