高渗氯化钠复合右旋糖酐在失血性休克患者中疗效观察.docVIP

高渗氯化钠复合右旋糖酐在失血性休克患者中疗效观察 　　【摘要】 目的：探讨高渗氯化钠复合右旋糖酐在失血性休克患者中的临床治疗效果。方法：选取2015年1月-2016年4月医院诊治的失血性休克患者60例，根据治疗措施不同将患者分为对照组和观察组，每组30例。对照组采用高渗氯化钠复苏治疗，观察组采用高渗氯化钠复合右旋糖酐治疗，比较两组临床治疗效果。结果：观察组患者血红蛋白浓度显著高于对照组、输血量少于对照组、复苏时间短于对照组、平均动脉压高于对照组，差异均有统计学意义（P0.05）；观察组患者中心静脉压、脉搏、尿量水平均优于对照组，差异均有统计学意义（P0.05）。结论：失血性休克患者采用高渗氯化钠复合右旋糖酐治疗效果理想，值得推广应用。 　　【关键词】 高渗氯化钠； 右旋糖酐； 失血性休克； 治疗效果 　　doi：10.14033/j.cnki.cfmr.2016.33.011 文献标识码 B 文章编号 1674-6805（2016）33-0025-02 　　【Abstract】 Objective：To investigate the clinical effect of Hypertonic Sodium Chloride combined with Dextran in patients with hemorrhagic shock.Method：60 cases of hemorrhagic shock patients in our hospital from January 2015 to April 2016 were selected，they were divided into control group and observation group according to the different treatment methods，30 cases in each group.The control group was given Hypertonic Sodium Chloride for resuscitation，the observation group was given Hypertonic Sodium Chloride combined with Dextran for treatment.The clinical treatment effect was compared between the two groups.Result：Compared with the control group，the concentration of hemoglobin in patients in the observation group was higher，the transfusion volume of the observation group was less，the recovery time of the observation group was shorter，the mean arterial pressure of the observation group was higher，the differences were statistically significant（P0.05）.The central venous pressure，pulse，urine levels in patients in the observation group were significantly better than those in the control group，the differences were statistically significant（P0.05）.Conclusion：Hypertonic Sodium Chloride combined with Dextran in patients with hemorrhagic shock has good effect，which is worthy of popularization and application. 　　【Key words】 Hypertonic Sodium Chloride?? Dextran； Hemorrhagic shock； Treatment effect 　　First-author’s address：Emergency Rescue Center of Suining，Suining 629000，China 　　失血性休克主要是由于?C体大量出血引起，常见诱因包括：外伤引起的出血、消化性溃疡出血、食管曲张静脉破裂及其他等[1]。患者发病后临床上主