significance of emergency monitoring of the traumatic hemorrhagic shock resuscitation
ZHANG Xian
LIU Hong-sheng
YAO Yong-ming
ZHAO Xiao-dong
Abstract：Objective To explore the clinical significance of emergency monitoring in patients with traumatic hemorrhagic shock by limited fluid resuscitation. Methods This retrospective study included 484 in-hospital patients who were diagnosed as traumatichemorrhagic shock from January 2006 to December 2013.They were treated with limited fluid resuscitation ( limited group, n =293 ) and traditional fluid resuscitation( traditional group, n=191) .Hct, serum lactic acid( Lac) and coagulation function were compared before and after resuscitation.Results Fluid volume oflimited group and traditional group was significant different[(1876 ±472)mL vs (3021 ±646)mL, t=13.88,P=0.00]. After fluid resuscitation, two groups of all markers were all obviously different with each other [ Hct (0.28 ±0.08 vs 0.23 ±0.11, t=2.14, P=0.03), Lac[(1.27 ±1.05)mmol/L vs (2.23 ±1.31) mmol/L, t =2.01, P=0.046)], INR(1.25 ±0.30 vs 1.52 ±0.48, t =2.89, P =0.04)]. Conclusion During patients with traumatic hemorrhagic shock by limited fluid resuscitation, emergency monitoring, such as transfusion volume, red blood cells, serum Lac and blood coagulation function indicators, can provide clinical guidance for emergency treatment, thus increasing emergency rescue success rate of the patients.
Keywords：Traumatic hemorrhagic shockLimited fluid resuscitationMonitoringClinical significance
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 1097-1100 )