Abstract：Objective To explore the application effect of restrictive replenishment fluid in postpartum hemorrhagic shock.Methods A total of 32 cases of maternal women who were admitted to our hospital from March 2016 to March 2018 were selected as subjects, and all of them had different degrees of postpartum hemorrhagic shock.They were divided into the observation group(16 cases)and the control group(16 cases)according to random sampling method.Firstaid measures were taken immediately after the shock occurred in the women.The observation group had two venous accesses after the shock, a restrictive input was Sodium Chloride Hydroxyethyl Starch, fine-tuning the liquid speed according to the situation, and another input was necessary rescuing drugs and antibiotics.The control group underwent routine fluid resuscitation, using Ringer′s solution for infusion, and after completion, the colloidal fluid was input to maintain arterial pressure, the other was also entered into rescuing drugs and antibiotics.The patients′ infusion volume,blood loss, blood transfusion volume, total effective rate of treatment, mean arterial pressure (MAP), hematocrit (HCT)and central venous pressure (CVP) were compared.Results The infusion volume, blood loss and blood transfusion volume in the observation group were significantly less than those in the control group, and the differences were statistically significant (P<0.05).The total effective rate of treatment in the observation group was 93.75%, which was higher than that in the control group (56.25%), and the difference was statistically significant (P<0.05).The MAP, CVP and HCT at 1 h after treatment in the observation group were higher than that of the same group at 0.5 h after treatment,and the differences were statistically significant (P<0.05).The MAP, CVP and HCT of the maternal women in the observation group were higher than those in the control group at 0.5 h after treatment and 1 h after treatment, and the differences were statistically significant (P<0.05).Conclusion The use of restrictive replenishment fluid for postpartum hemorrhagic shock can reduce the amount of bleeding, and also reduce the amount of infusion, which can ensure hemodynamic stability of hemorrhagic shock, correct abnormal coagulation function and improve treatment success rate, and it is worthy of clinical application.
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