Application of Different Fluid Resuscitation Methods in Early Emergency Treatment of Patients with Severe Multiple Injuries
Objective To summarize the early emergency data of patients with severe multiple injuries in hospital,and analyze the influence of different fluid resuscitation methods on emergency results.Methods Clinical data of 92 pa-tients with severe multiple injuries admitted to Rongcheng Hospital of Traditional Chinese Medicine from July 2021 to June 2023 were retrospectively selected,and they were divided into observation group(volume management based on continuous monitoring,n=46)and control group(conventional restricted fluid resuscitation,n=46)according to fluid re-suscitation methods.The prognostic outcome,heart rate(HR),mean arterial pressure(MAP),cardiac output(CO)and cardiac index(CI),lactic acid(Lac),and the incidence of complications of the two groups were compared.Results The mechanical ventilation time of the observation group was(15.27±3.23)h,which was shorter than that of the control group(17.85±2.69)h,the standard time of liquid resuscitation in the observation group was(5.27±0.92)h,which was shorter than that in the control group(6.02±1.04)h,and the differences were statistically significant(t=4.163,3.663,both P<0.001).There were no statistically significant differences in HR,MAP index and complication rate between the two groups(all P>0.05).After treatment,Lac level in observation group was lower than control group,CO and CI levels were higher than control group,and the differences were statistically significant(all P<0.05).Conclusion Vol-ume management based on continuous monitoring has a good fluid resuscitation effect,which can improve the cardiac function and Lac level in patients with severe multiple injuries,and shorten the time of mechanical ventilation and the time of liquid resuscitation.
Severe multiple injuriesRestricted fluid resuscitationCapacity managementContinuous monitoring
万方数据
维普
