Abstract:
Objective
To discuss the clinical effect of limited fluid resuscitation associated with first-aid fast track for severe abdominal trauma and hemorrhagic shock.
Methods
A retrospective analysis was carried out on the therapeutic effect of one hundred and twenty-eight cases with severe abdominal trauma and hemorrhagic shock, treated with limited fluid resuscitation or adequate fluid resuscitation by different operation paths.
Results
In limited fluid resuscitation associated with first-aid fast track group, both the mortality and the complication rate of survival patients were significantly lower than those with adequate fluid resuscitation group whether by traditional track or first-aid fast track (χ2=6.825, 8.974,P=0.037, 0.011). Furthermore, the prothrombin time (PT) was the shortest in the limited fluid resuscitation group (t=10.619, P=0.000).
Conclusion
Limited fluid resuscitation associated with first-aid fast track can reduce the mortality of severe abdominal trauma and hemorrhagic shock, improve the survival rate, and reduce postoperative complications of survival patients.
Key words:
Severe abdominal trauma,
Hemorrhagic shock,
Limited fluid resuscitation,
First-aid fast track
Faqiu Chen, Xilin Chen, Huiwen Lin, Ruimei Lu, Rongjian Chen, Zhifeng Xu. Study on the therapeutic effect of limited fluid resuscitation associated with first-aid fast track in treatment of patients of traumatic hemorrhagic shock with severe abdominal trauma[J]. Chinese Archives of General Surgery(Electronic Edition), 2015, 09(02): 108-110.