Abstract:

Restrictive fluid resuscitation in uncontrolled hemorrhagic shock therapy：Controversies and consensus         CHEN Lin，CUI Jian-xin. Department of General Surgery，the General Hospital of the PLA，Beijing 100853，China
Corresponding author：CHEN Lin，E-mail：chenlinbj@vip.sina.com
Abstract    Uncontrolled hemorrhagic shock is a major cause of traumatic death. Timely and systemically treatment can reduce the mortality and complications effectively. Fluid resuscitation is the main link of trauma care. Many ideas about resuscitation have changed over the past few decades. There are debates over when to choose restrictive liquid recovery，and how to choose the type of fluid used for resuscitation. During the treatment of uncontrolled hemorrhagic shock trauma，surgeons should perform the treatment and fluid resuscitation standardly and individually，paying more attention to the mechanism of shock，viewing each link of shock development，referring existing evidence.

Key words: trauma, limited resuscitation, hemorrhagic shock

摘要：

失血性休克是引起创伤死亡的主要原因，及时规范的创伤救治能有效降低创伤失血性休克并发症发生率和病死率，液体复苏是创伤救治的主要环节。过去几十年中液体复苏的许多观念发生了很大变化，开放性液体复苏与限制性液体复苏、复苏液体选择等诸多问题仍存在争议。在创伤失血性休克救治中，应重视休克发生的基础机制，针对休克发生的各个环节，以现有循证依据为参考、结合各单位救治经验，规范化、个体化地实施救治和液体复苏。

关键词: 创伤, 限制性液体复苏, 失血性休克