Objective To explore the effect of bedside ultrasound-guided individualized fluid management on the prognosis of patients with hemorrhagic-traumatic shock(HTS).Methods According to the different methods of fluid management,fifty HTS patients,who visited the emergency intensive care unit(EICU)of the our hospital from February 2023 to January 2024,were randomized 1:1 to central venous pressure(CVP)-guided fluid management(control group)or bedside ultrasound-guided individualized fluid management(observation group).The vital signs,arterial blood gas indexes,urine volume,duration of vasoactive drug,duration of mechanical ventilation,length of ICU stay,complications,and survival rate were evaluated between the two groups.Results After treatment,the improvement of heart rate(HR),respiratory rate(RR)and mean arterial pressure(MAP)in the observation group were better than those in the control group(P＜0.05).The levels of arterial partial pressure of carbon dioxide(PaCO2)and blood lactic acid in the observation group were significantly lower than those in the control group(P＜0.05),while the arterial partial pressure of oxygen(PaO2),oxygenation index(OI),and urine volume were significantly higher than those in the control group(P＜0.05).The duration of vasoactive drug,duration of mechanical ventilation,length of ICU stay in the observation group were significantly shorter than those in the control group(P＜0.05).There was significant difference in complications(16.00％vs 44.00％)and survival rates(92.00％vs 68.00％)between the observation groups and the control group(both P＜0.05).Conclusion The bedside ultrasound-guided individualized fluid management has a significant prognosis effect in HTS patients.
bedside ultrasoundindividualized fluid managementhemorrhagic-traumatic shockvital signsarterial blood gas analysiscomplications
维普
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