Research progress in early fluid resuscitation in patients with traumatic hemorrhagic shock
Traumatic hemorrhagic shock(THS)is the main cause of death in trauma patients,and early con-trol of hemorrhage and fluid resuscitation are key measures to improve the survival rate of THS patients.With the in-depth study of the pathophysiological mechanisms of THS,early fluid resuscitation has become a consensus,and the resuscitation strategy has been continuously improved,however,the early fluid resuscitation strategy of THS is still controversial in the practical clinical application.This paper reviews the recent years about the early fluid resuscitation treatment of THS,and discuss the optimal way of resuscitation,fluid and blood pressure tar-gets regarding the method of fluid resuscitation,the target blood pressure of fluid resuscitation,and the selection of resuscitation fluid.The newly emerged resuscitation fluids and liquid resuscitation adjuvant therapies in recent years were also discussed to provide reference for early liquid resuscitation in THS patients,which is of great sig-nificance for improving prognosis and survival rate.
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