Effect of Restricted Fluid Resuscitation Protocol in the Treatment of Patients with Emergency Traumatic Hemorrhagic Shock
Objective:To investigate the effect of restricted fluid resuscitation protocol in the treatment of emergency traumatic hemorrhagic shock.Methods:A total of 96 patients with traumatic hemorrhagic shock admitted to the Emergency Department of Cao County People's Hospital from May 2023 to May 2024 were selected as the study objects,and were divided into a control group and a study group by random number table method,with 48 cases in each group.The control group was treated with conventional fluid resuscitation protocol,while the study group was treated with restricted fluid resuscitation protocol.The blood test indexes,coagulation indexes,blood gas analysis indexes,complication occurrence and success of rescue were compared between the two groups.Results:Twelve hours after resuscitation,the levels of hemoglobin,hematocrit and platelet in the study group were higher than those in the control group,the differences were statistically significant(P＜0.05).Twelve hours after resuscitation,the prothrombin time,thrombin time and activated partial thromboplastin time of both groups were longer than before resuscitation,but the indexes in study group were shorter than those in the control group,the differences were statistically significant(P＜0.05).Twelve hours hars after resuscitation,the partial pressure of arterial blood oxygen and pH value of the study group were higher than those of the control group,while the partial pressure of arterial blood carbon dioxide and blood lactate were lower than those of the control group,the differences were statistically significant(P＜0.05).The complication rate of the study group was 4.17%,which was lower than 16.67%of the control group,the difference was statistically significant(P＜0.05).The success rate of rescue in the study group was 97.92%,which was higher than 87.50%in the control group,the difference was statistically significant(P＜0.05).Conclusion:Restricted fluid resuscitation is more effective for patients with emergency traumatic hemorrhagic shock,which can improve their coagulation function and blood indexes,further improve blood gas status,reduce the incidence of complications and increase the success rate of rescue,and has high clinical application value.
万方数据
维普
