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目的:研究分析限制性液体复苏在86例产科失血性休克治疗中的疗效及安全性。方法:回顾性分析我院于2015年4月~2017年4月收治的86例产科失血性休克患者的病历资料,随机分为对照组和观察组,对照组患者采用常规液体复苏,观察组患者采取限制性液体复苏,对比分析两组患者复苏后的实验室指标和并发症发生率。结果:(1)观察组患者复苏后的GB(64.2±21.3)g/L、PC(185±78)109/L、HCT(0.37±0.01)%、APTT(34.3±14.2)s、PT(11.5±1.7)s指标水平恢复情况和对照组比较,明显较优,两组间比较,P<0.05,有统计学意义。(2)观察组患者出血量(400±150)m L、输液量(1500±250)m L和对照组比较,明显较低,P<0.05,有统计学意义。观察组患者ARDS发生率(4.7%)、DIS发生率(7%)和对照组比较,明显较低,P<0.05,有统计学意义。结论:限制性液体复苏治疗产科失血性休克效果显著,改善实验室指标水平,出血量少,安全性高,值得临床推广应用。
OBJECTIVE: To study the efficacy and safety of restrictive fluid resuscitation in the treatment of 86 patients with obstructive hemorrhagic shock. Methods: The clinical data of 86 obstetric hemorrhagic shock patients who were admitted to our hospital from April 2015 to April 2017 were retrospectively analyzed. Patients in the control group were randomly divided into control group and observation group. Patients in the control group were treated with conventional fluid resuscitation. Patients in the observation group Restrictive fluid resuscitation was used to compare and analyze the laboratory indexes and complication rates after resuscitation in both groups. Results: (1) The recovery rate of GB (64.2 ± 21.3) g / L, PC (185 ± 78) 109 / L, HCT (0.37 ± 0.01)%, APTT (34.3 ± 14.2) s and PT ± 1.7) s index recovery compared with the control group, was significantly better, between the two groups, P <0.05, statistically significant. (2) The amount of bleeding in the observation group was (400 ± 150) m L, and the volume of infusion (1500 ± 250) m L was significantly lower than that in the control group, P <0.05, which was statistically significant. The incidence of ARDS in observation group (4.7%) and DIS incidence (7%) were significantly lower than those in control group, P <0.05, which were statistically significant. CONCLUSIONS: Restrictive fluid resuscitation is effective in obstetric hemorrhagic shock. It can improve the level of laboratory indexes, reduce the amount of bleeding, and has high safety. It is worthy of clinical application.