Effect of Bedside Ultrasound-guided Limited Fluid Resuscitation on Patients with Traumatic Shock
Objective:To explore the effect of bedside ultrasound-guided limited fluid resuscitation(LFR)on patients with traumatic shock.Method:A total of 66 patients with traumatic shock who admitted to ICU of Nantong Tongzhou People's Hospital from March 2020 to March 2023 were selected as the research objects,66 patients were divided into the observation group and the control group according to the random number table method,with 33 cases in each group.The control group was treated with liquid resuscitation according to the blood pressure of patients,and the observation group was treated with bedside ultrasound-guided LFR.The hemodynamic indexes,coagulation function before and after resuscitation and prognostic indexes were compared between two groups.Result:There were no significant differences in the hemodynamic indexes between two groups before and after resuscitation(P＞0.05);after resuscitation,the mean arterial pressure(MAP)and central venous pressure(CVP)of two groups were higher than those before resuscitation,and the heart rate(HR)were lower than those before resuscitation,the differences were statistically significant(P＜0.05);the total amount of resuscitation fluid in the observation group was less than that in the control group,and the difference was statistically significant(P＜0.05).After resuscitation,the prothrombin time(PT)and activated partial thromboplastin time(APTT)of the control group were longer than before resuscitation,fibrinogen(FIB)and D-dimer(D-D)were lower than those before resuscitation,D-D in the observation group was lower than that before resuscitation,APTT and PT in the observation group were shorter than those in the control group,FIB was higher than that in the control group,and D-D was lower than that in the control group,the differences were statistically significant(P＜0.05).The ICU hospitalization time of the observation group was shorter than that of the control group,and the incidence of pulmonary edema was lower than that of the control group,the differences were statistically significant(P＜0.05);there was no significant difference in the 28 d mortality between two groups(P＞0.05).Conclusion:Bedside ultrasound-guided LFR in patients with traumatic shock can improve coagulation function,shorten ICU hospitalization time,reduce the incidence of pulmonary edema,and the clinical effect is significant.
UltrasoundLimited fluid resuscitationTraumatic shockCoagulation function
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