产后出血失血性休克抢救中限制性补液疗法的应用价值分析.docVIP

产后出血失血性休克抢救中限制性补液疗法的应用价值分析 　　【摘要】 目的：研究限制性补液疗法在产后出血失血性休克抢救中的应用效果及价值分析。方法：选择2014年5月-2015年5月在本院接产并发生产后出血致使发生失血性休克的患者65例，将患者随机分为观察组和对照组。所有患者在出现休克后均马上采取急救措施，在常规治疗的基础上，对照组中对患者进行常规的液体复苏措施，即足量、迅速的补液，利用林格液进行输液，完成后输入胶体液维持患者的动脉压；另一条中输入必要的抢救药物、抗生素等等。观察组中患者在出现休克后马上开通两条静脉通路，一条限制性输入氯化钠羟乙基淀粉，根据监测的实际情况对液体速度进行微调，另一条输入必要的抢救药物、抗生素等等。观察记录患者的输液量、出血量情况；及时观察记录患者发生并发症及治愈的情况；比较治疗结束后0.5 h和2 h的血流动力学指标，6 h和12 h的凝血功能指标。结果：研究结果显示，观察组患者在治疗过程中的输液量、出血量及输血量均明显少于对照组，两组比较差异均有统计学意义（P中国论文网 /6/view-7251488.htm 　　【关键词】 产后出血； 失血性休克； 限制补液疗法； 应用价值分析 　　The Value Analysis of Restrictive Rehydration Therapy for Postpartum Hemorrhage Hemorrhagic Shock Salvage/JIANG Hai-zhan.//Medical Innovation of China，2016，13（06）：018-021 　　【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