| 摘要: |
| ［摘要］ 目的 观察液体复苏法治疗感染性休克患儿的疗效及并发症。方法 选择2014-06～2015-06该院收治的60例感染性休克患儿作为研究对象，按随机数字表法分为对照组和观察组，每组30例。对照组行传统扩容方法治疗，观察组行液体复苏法治疗，观察两组临床疗效和并发症。结果 观察组显效14例，有效12例，无效4例；对照组显效7例，有效12例，无效11例。观察组疗效优于对照组（P<0.05）。观察组第1小时内输液量为（45.86±10.12）ml、血循环稳定时间为（107.64±52.81）min，住院时间为（4.5±1.8）d，对照组分别为（30.37±7.34）ml、（187.93±77.46）min及（7.0±2.2）d，两组各项指标比较差异均具有统计学意义（P<0.01）。观察组病死率为13.33%，低于对照组的36.67%，两组比较差异有统计学意义（P<0.05）。两组并发症发生率比较差异无统计学意义（P>0.05）。结论 液体复苏法治疗感染性休克患儿疗效显著，可显著缩短血循环稳定时间和住院时间，且不增加并发症发生率。 |
| 关键词: 感染性休克 体液复苏 疗效 并发症 |
| DOI：10.3969/j.issn.1674-3806.2016.08.18 |
| 分类号:R 725 |
| 基金项目: |
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| Observation on the curative effect and complications of fluid resuscitation in children with septic shock |
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WANG Liang-liang
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Observation on the curative effect and complications of fluid resuscitation in children with septic shock
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| Abstract: |
| ［Abstract］ Objective To study the curative effect and complications of fluid resuscitation in children with septic shock.Methods Sixty children with septic shock who were treated in our hospital between June 2014 and June 2015 were selected as the study subjects and were randomly divided into two groups, with 30 cases in each group. The control group was treated with traditional plasma expander and the observation group was treated with humoral resuscitation. The clinical curative effects and complications were observed and compared between the two groups.Results In the observation group, 14 cases were markedly effective, 12 cases effective and 4 cases ineffective; in the control group, 7 cases were effective, 12 effective and 11 ineffective. The curative effect of the observation group was significantly better than that in the control group(P<0.05). The mortality rate and the incidence of the complications in the observation group were 13.33% and 10.00% respectively while those in the control group were 36.67% and 26.67% respectively(P<0.05). The infusion volume during the first hour, time for stable blood circulation and hospitalization in the observation group were (45.86±10.12)ml, (107.64±52.81)min and (4.5±1.8)d, respectively while those in the control group were (30.37±7.34)ml, (187.93±77.46)min and (7.0±2.2)d, respectively(P<0.01).Conclusion Fluid resuscitation in children with septic shock is significant. It can significantly shorten the time for stable blood circulation and hospitalization and reduce the incidence of complications. |
| Key words: Septic shock Fluid resuscitation Curative effect Complication |
