Objective To investigate the application effect of bedside blood gas analysis combined with real-time ultrasound in emergency traumatic hemorrhagic shock.Methods A total of 100 patients with traumatic hemorrhagic shock in the Department of Emergency of Fuzhou Second General Hospital from January 2022 to April 2023 were selected and divided into the control group(n=50)and the observation group(n=50)according to the random number table method.Both groups were treated with conventional symptomatic therapy,while the control group was treated with conventional fluid resuscitation.The observation group was treated with bedside blood gas analysis combined with bedside real-time ultrasound for fluid resuscitation on the basis of the control group.The resuscitation status changes(mean arterial pressure[MAP],urine output per hour,heart rate[HR]),blood gas indices(partial pressure of arterial oxygen[PaO2],partial pressure of arterial carbon dioxide[PaCO2],blood lactic acid[BL],base excess[BE]and blood pH[pH]),coagulation indices(prothrombin time[PT],activated partial thromboplastin time[APTT],and thrombin time[TT])between two groups were compared.The 24-hour fluid resuscitation volume and the 1-week survival rate of fluid resuscitation treatment between the two groups were compared.Results There was no significant difference in the resuscitation status,blood gas and coagulation between the two groups before resuscitation(P>0.05).Compared with the control group,the HR,PaCO2,BL,BE,PT,APTT and TT in the observation group were lower,while MAP,urine volume,pH and PaO2 were higher.The volume of fluid infusion within 24 hours of resuscitation in the observation group was less than that in the control group,and the 1-week survival rate in the observation group was higher than that in the control group(P<0.05).Conclusion Bedside blood gas analysis combined with real-time ultrasound in emergency traumatic hemorrhagic shock is beneficial to the resuscitation of patients'status,and can improve blood gas indices,coagulation function and overall therapeutic efficacy.
关键词
急诊创伤失血性休克/床旁血气分析/床旁即时超声/凝血功能
Key words
Energency traumatic hemorrhagic shock/Bedside blood gas analysis/Bedside real-time ultrasound/Coagulation function
维普
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