[Fluid resuscitation in traumatic shock].
OBJECTIVE
To investigate fluid resuscitation affecting the result of treatment of patients with traumatic shock.


METHODS
Two hundred and fifty-six cases of patients with traumatic shock treated in our hospital between January 1989 and December 2002 were analysed retrospectively, and the volume-effect relationship between fluid resuscitation during the first hour and future of traumatic shock was summarised.


RESULTS
The successful rate of resuscitation was 73.05 percent (187 cases), and traumatic mortality was 26.95 percent (69 cases). After 1-hour trauma, the survival rate was 52.27 percent in patients with 1 liter of resuscitation fluid, 75.90 percent in patients with 15-20 liter of resuscitation fluid, and 78.29 percent of more than 20 liter resuscitation fluid, 86.79 percent in mild shock, 80.34 percent in middle shock and 54.65 percent in severe shock.


CONCLUSIONS
Severe trauma and shock, hypotension and incorrect resuscitation manipulation are the main factors affecting the result of resuscitation and treatment of traumatic shock. It is important to early and correctly expand, especially at the first hour. The aim of resuscitation of traumatic shock is to maintain the hemodynamics and correct O2 defect.
Fu
Wei-jun
WJ
Department of Emergency, General Hospital of People's Liberation Army, Beijing 100853, China.
Teng
Qing-shan
QS
Li
Tan-shi
TS
Zhou
Bao-lin
BL
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D012151:Resuscitation; D012189:Retrospective Studies; D012774:Shock, Traumatic / Q000401:mortality / Q000628:therapy*; D015996:Survival Rate