摘要
Abstract
Objective: To study the effect and value of use limiting rehydration therapy in postpartum hemorrhage rescue hemorrhagic shock analysis.Method: 65 patients with bleeding occurs causing hemorrhagic shock from May 2014 to May 2015 in our hospital were studied. 65 patients were randomly divided into observation group and the control group. All patients with hemorrhagic shock were taken immediately after a shock first-aid measures, on the basis of conventional therapy, the control group conventional fluid resuscitation to the patient, that was sufficient, rapid rehydration, used Ringer infusion input after the completion of colloid maintain arterial pressure in patients; the other input required rescue medication, antibiotics and so on. Patients in the observation group in shock immediately after the opening of two intravenous access, entered a restricted sodium chloride hydroxyethyl starch, according to the actual situation monitored to fine-tune the speed of the liquid, and the other input required rescue medication, antibiotics and so on. Then the patient's fluid volume, the amount of bleeding were observed, and the complications of patients and cure situation were observed, hemodynamic of 0.5 h and 2 h after the end of therapy and the coagulation parameters of 6 h and 12 h were observed.Result: The results showed that patients in the observation group in the course of treatment fluid volume, blood loss and blood transfusion were significantly less than the control group, the differences were statistically significant (P<0.05).From patient outcomes, the observation group patients high efficiency up to 93.75%, while the control group, only 24 patients belonged to treated high efficiency, high efficiency was only 72.73%, the difference had statistically significant (P<0.05). The observation group of patients with MAP, CVP, HCT, and the dynamics of HR indicators at different time points after treatment had greatly improved, the test results were better than the index test results in the control group, the difference had statistically significant (P<0.05). The observation group indexes in patients with coagulation parameters PT, APTT, TT, etc. 6 h and 12 h after treatment had significantly decreased, compared with the control group had significant differences(P<0.05). And FIB of the observation group had significantly improved, compared with the control group, the difference was statistically significant (P<0.05). The observer group in patients with multiple organ dysfunction syndrome (MODS), acute respiratory distress syndrome occurrence (ARDS) and acute renal failure (AFR) and other complications were significantly lower than the control group(P<0.05). And the overall complication rate the observation group was 6.26%, significantly lower than the control group, the difference was statistically significant (P<0.05).Conclusion: Using limiting rehydration therapy in rescue postpartum hemorrhage hemorrhagic shock can effectively reduce the amount of bleeding and reduce the incidence of complications, maternal bleeding maintain hemodynamic stability, and can correct abnormal clotting function, improve the success rate of treatment, should be introduced.关键词
产后出血/失血性休克/限制补液疗法/应用价值分析Key words
Postpartum hemorrhage/Hemorrhagic shock/Limit rehydration therapy/Value analysis
