Spontaneous diuresis and negative fluid balance predicting recovery and survival in patients with trauma-hemorragic shock

作     者：缑东元 朱雅芳 金燕 陈丽英 

作者机构：ICU Affiliated Sir Run Run Shaw Hospital Zhejiang University 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2003年第6卷第6期

页      面：382-384页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Cause of Death Water-Electrolyte Balance Adolescent Adult Aged Aged, 80 and over Child Critical Care Diuresis Female Fluid Therapy Humans Injury Severity Score Intensive Care Units Male Middle Aged Multiple Trauma Predictive Value of Tests Probability Prognosis Retrospective Studies Risk Assessment Shock, Hemorrhagic Survival Rate 

摘      要：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.