Clinical analysis of 34 patients with traumatic hemorrhagic shock undergoing limited fluid resuscitation

Objective To investigate the clinical effect of limited fluid resuscitation in the treatment of traumatic hemorrhagic shock patients. Methods Total 68 traumatic patients with hemorrhagic shock were divided into 2 groups by random number method.The patients in the control group were given positive fluid resuscitation,while the patients in the observation group were given limited fluid resuscitation.The heart rate,mean arterial pressure,oxygen saturation,the used fluid resuscitation amount and hemoglobin concentration,serum lactate level,prothrombin time(PT),activated partial thromboplastin time(APTT) cure rate,mortality,morbidity of two groups were accounted. Results After the treatment,mean arterial pressure and oxygen saturation levels of both groups were significantly increased(P<0.05),mean arterial pressure of the observation group were significantly lower than that in the control group(P<0.05),and oxygen saturation levels of the observation group were significantly higher than that in the control group(P<0.05).After the treatment,heart rate of both groups was significantly reduced(P<0.05),heart rate of the observation group was significantly lower than that in control group(P<0.05).The fluid resuscitation amount hemoglobin concentration of the observation group were significantly lower than that in the control group(P<0.05).After the treatment,the levels of serum lactate levels were significantly lower(P<0.05),and serum lactate levels of the observation group was significantly lower than that in the control group(P<0.05);The prothrombin time(PT),activated partial thromboplastin time(APTT)levels of the two groups were significantly increased(P<0.05),PT and APTT of the observation group were significantly lower than that in the control group(P<0.05).The cure rate of the observation group was 67.5%,significantly higher than that in the control group 26.5%(P<0.05).The mortality rate and complication rate of the observation group were 8.82% and 23.5%,significantly lower than 26.5% and 47.1% in the control group(P<0.05). Conclusion Limited fluid resuscitation can stabilize the tissue perfusion pressure and peripheral circulation,mobilize clotting mechanism,improve patient survival,reduce mortality.