猫失血性休克早期失血量和预后的评估指标.docVIP

猫失血性休克早期失血量和预后的评估指标 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：猫失血性休克早期失血量和预后的评估指标 1 1 猫失血性休克模型 3 2 生理指标测定和计算 3 3 动脉血气和血LA含量测定 3 4 统计学分析 3 1 BV与各指标间的相关分析 4 2 BV与各指标间的线性回归分析 4 文2：早期强化降压联合亚低温治疗对脑出血患者术后再出血和预后的影响 7 1 资料与方法 7 2 结果 8 3 讨论 8 参考文摘引言： 9 原创性声明（模板） 10 文章致谢（模板） 11 正文 猫失血性休克早期失血量和预后的评估指标 文1：猫失血性休克早期失血量和预后的评估指标 Abstract： Objective To investigate the predicto of bleeding volume and prognosis during early period of hemorrhagic The models of hemorrhagic shock in cats were produced by drawing 20%,30%,40%,50%,60% of total blood blood pressure,heart rate and respiratory rate were measured before bleeding and at different time points after hemorrhagic shock index and pressure difference were arterial blood gas and blood lactic acid content were survival rate within 72 hou was results were made correlation and regression Among conventional physiological index,diastolic blood pressure(DBP) and mean arterial pressure(MAP) had a significantly negative correlation with bleeding volume at all time points after hemorrhagic shock(P ).DBP had a significant linear regression relatiohip with bleeding volume and a logistic regression relatiohip with survival rate(P).The lactic acid content had a significant positive correlation and a linear regression relatiohip with bleeding volume as well as a logistic regression relatiohip with survival rate(P).Among arterial blood gas index,PaCO2 had a significantly negative correlation with bleeding volume and an obvious linear regressoin relatiohip with blood loss and a logistic regression relatiohip with survival rate immediately and 120 minutes after hemorrhagic shock(P).Conclusion DBP,LA and PaCO2 are suitable predicto of blood loss and prognosis during early period of hemorrhagic shock. Key words:trauma;hemorrhagic shock;bleeding volume;predictor 失血性休克是创伤伤员死亡的主要原因，对失血性休克早期严重程度的客观、恰当的评估是指导创伤失血性休克伤员救治的关键。目前临床上主要以伤员的临床表现和血压(BP)、心率(HR)等常规生理指标作为评估依据[1]，在实际应用中无法准确评估失血量(BV)和预后。近年来的研究表明，血乳酸(LA)和碱缺失与创