河北医学2016，Vol.22Issue(9)：1435-1438,4.DOI:10.3969/j.issn.1006-6233.2016.09.012
不同液体复苏方法对重症胸部创伤合并休克患者ARDS发生率及预后的改善作用
Improvement Effects of Emergency Surgery in ARDS Incidence and Prognosis of Severe Thoracic Trauma with Shock Patients
摘要
Abstract
Objective:To investigate the improvement roles of emergency surgery in ARDS incidence and prognosis of severe thoracic trauma with shock patients. Methods:112 cases of severe thoracic trauma with shock patients treated in our hospital from May 2014 to May 2016 were randomly selected.These patients were divided into conventional fluid resuscitation group ( n = 56) and restrict fluid resuscitation group ( n = 56) according to emergency surgery methods. The clinical efficacy, ARDS incidence complications and mortality of the two groups were statistically analyzed. Results: The total effective rate of the restrict fluid resuscitation group was significantly higher than the conventional fluid resuscitation group (P<0.05), the ARDS, empye-ma, lung infection incidences and death rate were significantly lower than the conventional fluid resuscitation group. Conclusion:Restrict fluid resuscitation method in emergency surgery can more effectively reduce the ARDS incidence, improve the prognosis of severe thoracic trauma with shock patients than conventional fluid resuscitation.关键词
急诊手术/重症胸部创伤合并休克/ARDS发生率/预/后/改善作用Key words
Emergency surgery/Severe thoracic trauma with shock/ARDS incidence/Progno-sis/Improvement role引用本文复制引用
舒振云,陈鹤,廖金平,董德胜,宋斌..不同液体复苏方法对重症胸部创伤合并休克患者ARDS发生率及预后的改善作用[J].河北医学,2016,22(9):1435-1438,4.基金项目
浙江省科技厅基金项目,(编号:20120243Q12) （编号:20120243Q12）
