Spontaneous diuresis and negative fluid balance predicting recovery and survival in patients with trauma-hemorragic shock / 中华创伤杂志(英文版)
Chinese Journal of Traumatology
; (6): 382-384, 2003.
Article
in En
| WPRIM
| ID: wpr-270291
Responsible library:
WPRO
ABSTRACT
Most patients with trauma-hemorragic shock, prior to ICU admission, have been resuscitated and stabilized in the emergency room (ER) and/or operation room (OR). Many of them suffer from systemic edema. This extra-vascular fluid is caused by massive infusion of fluid and blood for the maintenance of blood pressure. During the recovery stage, the patients exhibit spontaneous diuresis followed by negative fluid balance. Urine volumes of some patients are more than 10000 ml/d. Do we need to maintain a balance between daily input and output of water at this situation? There are many references in the medical literature and textbooks about fluid resuscitation and the principles in maintaining the balance between input and output of water, but rarely about when and how to restrict it, that is, when and how to permit a negative balance. In this retrospective review, we examined the resuscitation records of 205 patients with systemic edema after trauma-hemorragic shock.
Full text:
1
Index:
WPRIM
Main subject:
Physiology
/
Prognosis
/
Shock, Hemorrhagic
/
Therapeutics
/
Water-Electrolyte Balance
/
Multiple Trauma
/
Injury Severity Score
/
Survival Rate
/
Probability
/
Predictive Value of Tests
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Child
/
Female
/
Humans
/
Male
Language:
En
Journal:
Chinese Journal of Traumatology
Year:
2003
Type:
Article