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The significance of APACHEⅡ and IL-6 in patients with traumatic hemorrhagic shock by limited fluids resuscitation

  

  • Received:2010-03-22 Revised:2010-06-28 Published:2010-11-15 Online:2010-11-15

Abstract: ABSTRACT Objective This study was performed to investigate the significance of APACHEⅡ and IL-6 in patients with traumatic hemorrhagic shock by limited fluids resuscitation, Method 106 eligible patients with traumatic hemorrhagic shock were randomly divided into two groups and the healthy control group (n=20). The group of conventional liquid (n=53), Anohter group of limited fluids resuscitation (n=53). The blood samples were taken for lactate, IL-6, and IL-10 measurements. The Acute physiology and chronic health evaluation(APACHEⅡ) were calculated; complications and final clinical outcomes were monitored. Result IL-6, IL-10 in two groups were significantly higher than healthy control groups(p<0.01).IL-6 in the group of limited fluids resuscitation were significantly lower than the group of conventional liquid (p<0.05). IL-6 in the group of the non-survival group were higher than those in the group of survival group(p<0.01).There were no obvious significances in IL-10 between two group(p>0.05).There were obvious significances in complicationsand mortality(p<0.05). Conclusion Limited fluids resuscitation can reduce the levels of IL-6, improve the crue rate, lower the daeth rate. Early test of IL-6 and calculated APACHEⅡscores in paitients with traumatic hemorrhagic shock can be used to evaluate the state of illness and prognosis

Key words: Trauma, Shock, Fluids resuscitation, Limited, APACHEⅡ, Interleukin-6, Prognosis