Early recovery strategy based on base excess condition for patients with traumatic hemorrhagic shock

  Objective  To explore the early fluid resuscitation strategy based on base excess (BE) condition for patients with traumatic hemorrhagic shock.

  Methods  Sixty patients with traumatic hemorrhagic shock were selected, including 6 cases without metabolic acidosis after emergency operation, 13 cases with metabolic acidosis without correction within 48 hours and 41 cases with metabolic acidosis within 48 hours. For 41 cases, they were divided into severe metabolic acidosis group (group A, n=29) and mild metabolic acidosis group (group B, n=12) according to BE≤ -6 mmol/L and BE>6 mmol/L. The severity of trauma (ISS) score, visiting time, platelet count, actual correction time of metabolic acidosis, proportion of blood transfusion and fluid input rate in both groups were retrospectively analyzed.

  Results  There were significant differences in fluid replacement rate and BE between group A and group B (P < 0.05).

  Conclusion  For patients with traumatic hemorrhagic shock, rapid selection of rehydration rate based on BE value can correct metabolic acidosis as soon as possible and improve the success rate of rescue under the condition of injury and hemorrhage control.