摘要
目的 探讨高渗盐液复苏失血性休克的效果。方法 对５０ 例失血性休克病人分别用高渗盐液（ 治疗组） 和平衡液复苏（ 对照组） 进行随机临床研究。结果 治疗组（２４ 例）血压２ ～５ ｍｉｎ 即上升，１０ ～１５ ｍｉｎ 恢复正常，平均维持４５ ｍｉｎ ，与对照组（２６ 例） 比较，有显著性差异（ Ｐ ＜ ０ ．０５） 。随着血压上升，尿量增加明显，呼吸与神志明显好转。治疗前后作钾、钠、氯测定，治疗组在治疗后钠、氯增高明显，与对照组比较有显著性差异（ Ｐ ＜ ０ ．０５） 。两组治愈率分别为９６ ％ 和８１ ％ （ Ｐ ＜ ０ ．０５） ，结论 高渗盐液对失血性休克早期复苏具有作用早、速度快、维持血压平稳，且用量小、安全性大、并发症少等优点。
Objective To investigate the treatment effect of hemorrhagic shock with hyperosmotic saline (HSL). Methods A clinical study on treating hemorrhagic shock was made randomly with hyperosmotic saline (T group) or balance liquid (C group). Results T group (24 patients): the blood pressure rose within 2～5 minutes, reached to normal level within 10～15 minutes and maintained average 45 minutes. The effect had a significant difference between T group and C group (26 patients) (P<0.05). As blood pressure rising, urinary output increased, breath and consciousness improved. Serum K +, Na + and Cl - level after treatment were obviously higher than that before treatment in T group, and different with C group (P<0.05). The effective treatment rate in T group was 96 percent; in C group was 81 percent (P<0.05). Conclusions The effect of HSL for early treatment of hemorrhageic shock is fast and safe; while blood pressures maintains smoothly; liquid amount requires less, and complication is less too.
出处
《中国普通外科杂志》
CAS
CSCD
1999年第5期359-362,共4页
China Journal of General Surgery
关键词
出血性休克
盐水高渗
复苏
SHOCK,HEMORRHAGIC/DT SALINE SOLUTION,HYPERTONIC/TV
