【摘要】 目的：探讨非控制性失血休克患者采用不同方法液体复苏对其治疗结局的影响。方法：选择笔者所在医院急诊科2017年6月-2019年1月收治的58例非控制性失血休克患者作为研究对象，按照入院顺序随机分为观察组(n=32)和对照组(n=26)。观察组予以术前限制性液体复苏，对照组予以术前积极液体复苏。观察两组患者不同时间段输血输液总量、凝血功能、术后早期并发症发生情况及病死率。结果：观察组输血和输液量低于对照组(P<0.05);观察组复苏后PT、APTT、TT均较对照组缩短(P<0.05);观察组术后早期并发症发生率及总病死率低于对照组(P<0.05)。结论：采用限制性液体复苏对非控制性失血休克可有效改善患者凝血功能，减少并发症，降低病死率。

    【关键词】 非控制性失血性休克 积极液体复苏 限制性液体复苏 凝血功能

    [Abstract] Objective： To explore the effect of different methods of fluid resuscitation on the outcome of patients with uncontrolled hemorrhagic shock. Method： A total of 58 patients with uncontrolled hemorrhagic shock who were treated in our emergency department from June 2017 to January 2019 were selected as the research subjects. They were randomly divided into observation group (32 cases) and control group (26 cases) according to the admission order. The observation group was given restricted fluid resuscitation before surgery ......