党辉辉

[摘要] 目的 探究产后出血失血性休克抢救中限制性补液的应用价值分析。方法 方便选择该院自2017年1月—2019年1月收取的60例产后出血失血性休克患者作为研究对象，按照就诊顺序分成两组各30例，对照组应用常规液体复苏治疗;观察组采取限制性补液治疗。仔细比较两组患者的输液量、出血量、并发症以及心肺功能情况。结果 观察组患者的输液量和出血量数据（1 589.31±220.22）mL、（254.30±113.2）mL明显优于对照组（2 732.1±230.11）mL、（1 110.1±346.58）mL，差异有统计学意义（t=19.653、12.856，P<0.05）。对照组患者的有效率低于观察组，差异有统计学意义（χ2=3.268，P<0.05）;对照组患者的心肺功能数据低于观察组，差异有统计学意义（P<0.05）。结论 针对产后出血失血性休克患者，需要应用限制性补液疗法可以有效的控制出血量，减少患者的并发症出现，维持产妇的血流动力学的稳定性，提升整体患者的治疗效果。

[关键词] 产后出血;失血性休克;限制性补液;应用价值

[Abstract] Objective To explore the application value of restrictive fluid replacement in rescue of hemorrhagic shock in postpartum hemorrhage. Methods The 60 patients with postpartum hemorrhagic shock collected in the hospital from January 2017 to January 2019 were convenient selected for analysis. They were divided into two groups of 30 patients according to the order of consultation， and the control group was treated with conventional fluid resuscitation; the observation group took restricted fluid replacement therapy. Carefully compare the infusion volume， bleeding volume， complications， and cardiopulmonary function of the two groups of patients. Results The infusion volume and blood loss data of the observation group （1 589.31±220.22）mL and （254.30±113.2） mL were significantly better than the control group （2 732.1±230.11）mL and （1 110.1±346.58） mL， and the differences were statistically significant （t=19.653， 12.856， P<0.05）. The effective rate of patients in the control group were lower than those in the observation group， and the difference was statistically significant（χ2=3.268， P<0.05）. Conclusion For patients with postpartum hemorrhagic shock， the application of restricted rehydration therapy can effectively control the amount of bleeding， reduce the occurrence of complications， maintain the stability of maternal hemodynamics， and improve the overall treatment effect.

[Key words] Postpartum hemorrhage; Hemorrhagic shock; Restricted fluid replacement; Application value

產科失血性休克是目前临床当中比较常见的一种危急综合征，其对产妇的身体健康造成了严重的威胁，目前临床针对该症状的治疗大多为止血前为患者进行大量的液体输入，以此来促进患者的心肺功能可以正常的活动[1-3]。产妇产后出血是在分娩期比较严重的并发症，在我国产妇死亡当中该并发症占据第一的位置，严重影响到产妇的生命质量，同时也在临床产科当中引起了很高的重视。失血性休克则是因为产妇在分娩时大量的出血而使得其中体内有效循环的血量降低，若是不及时地给予正确的治疗，对产妇的各个器官功能都会受到影响。现有相关的研究提出[2]，对待产后出血失血性休克患者进行限制性液体输注复苏治疗，对患者的预后效果较佳，并且减少并发症，提升患者的凝血功能。现以自2017年1月—2019年1月收治的60例产后出血失血性休克患者作为研究对象，报道如下。……