• Clinics · Jan 2023

    Effect of restrictive fluid resuscitation on the coagulation function and hemodynamic parameters in patients with hemorrhagic traumatic shock.

    • Junfen Zheng, Jinqiang Zhu, Liexiang Cao, Meiping Dong, Yi Mao, Zhiwei Zhao, and Yao Liu.
    • Department of Emergency Center, The First People's Hospital of Wenling, Wenling, China.
    • Clinics (Sao Paulo). 2023 Jan 1; 78: 100300100300.

    ObjectivesTo investigate the changes in the coagulation function and hemodynamic parameters in patients with Hemorrhagic Traumatic Shock (HTS) after restrictive fluid resuscitation.MethodsA total of 139 patients with HTS admitted to our hospital were enrolled, among which 69 HTS patients were divided into the control group and the remaining 70 HTS patients as the observation group. Patients in the control group underwent regular fluid resuscitation, while those in the observation group underwent restrictive fluid resuscitation.ResultsDuring treatment, 70 patients in the observation group had a lower bleeding amount, infusion amount, and blood transfusion volume than those in the control group (p < 0.05). After treatment, patients in the observation group had better hemodynamic parameters and blood coagulation than those in the control group (p < 0.05), and the incidence rate in the observation group was only 12.9%, which was significantly lower than 60.87% in the control group, while the cure rate in the observation group was 100%, which was significantly higher than that in the control group (p < 0.05).ConclusionsRestrictive fluid resuscitation could remarkably increase the cure rate and reduce the bleeding amount during HTS treatment, thereby benefiting the recovery of the patient's blood coagulation.Copyright © 2023 HCFMUSP. Published by Elsevier España, S.L.U. All rights reserved.

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