Abstract:

Clinical Research of Early Restriction Resuscitation in Treatment of Hemorrhagic Shock at High Altitude. Ma Wenbiao,Gongbao Caidan,Chen Guangan,et al.The Urgent Care Centre of Qinghai Province People s Hospital,Qinghai 81007,China Abstract Objective To investigate the clinical meaning of early restriction resuscitation in treatment of hemorrhagic shock at high altitude. Methods According to different resuscitation modes,there are comparison group(rapidly large fluid resuscitation) and experiment group (fluid restriction resuscitation).By examining HB,PLT,HCT,serum lactate and quantity of the lose blood at different time,the researchers compare the therapeutic effect of the hemorrhagic shock patients at high altitude with fluid restriction resuscitation and fluid normal resuscitation. Results ①At the 12th hour the comparison of the two groups’ HCT is significantly different (P<005).Between the 12th hour and 24th hour the comparison of the groups’ PLT is significantly different (P<005).It shows that the fluid restriction resuscitation group can decrease hemorrhage through to prevent blood from attenuating and to steady blood clotting function.②At 24th hour the researchers compare serum lactate of two groups and the difference is significant (P<005).It shows that the fluid restriction resuscitation group can effectively improve the organizing oxygen infusion and alleviate the acid-intoxication during the shock period. Conclusion At high altitude the hemorrhagic shock patients with fluid restriction resuscitation can obviously improve cell oxymetabolism and steady internal environment.