Analysis of restrictive fluid resuscitation in traumatic hemorrhagic shock treatment
WANG Wei
HUANG Chong-xue
YAO Biao
Abstract：Objective To explore the effect of restrictive fluid resuscitation in treating traumatic hemorrhagic shock patients with uncontrolled hemorrhage .Methods All 151 cases of traumatic hemorrhagic shock patients were analyzed retrospec-tively and divided into restrictive fluid resuscitation group and aggressive fluid resuscitation group based on the level of mean arterial pressure during the resuscitation .To compare the blood loss volume ,hemoglobin ,coagulation function ,arterial blood lactate level,traumatic complications and mortality between restrictive fluid resuscitation group and aggressive fluid resusci -tation group.Results Restrictive fluid resuscitation group showed superior to aggressive fluid resuscitation group in reduc -ing blood loss ,avoiding hemodilution ,preserving normal coagulation function ,improving tissue perfusion and lowering acute lung injury risks .However ,excessively low mean arterial pressure during fluid resuscitation may result in tissue hypoperfu -sion and acute kidney injury .Conclusion Restrictive fluid resuscitation is preferable for traumatic hemorrhagic shock pa-tients with uncontrolled hemorrhage .
Keywords：Restrictive fluid resuscitationHemorrhagic shockTraumaUncontrolled hemorrhage
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 236-239 )