International Journal of Clinical Research

Objective Investigate the clinical practice effects of combined use of restrictive fluid resuscitation and damage control resuscitation in the treatment of severe traumatic splenic rupture. Methods This study selected 70 patients with severe traumatic splenic rupture from our hospital as research subjects. They were randomly assigned using a random number table to the control group (35 cases, receiving aggressive fluid resuscitation) and the study group (35 cases, receiving a combined intervention of restrictive fluid resuscitation and damage control resuscitation). The intervention effects of the two groups were compared. Results Compared to the control group, the patients in the study group had significantly reduced prothrombin time, activated partial thromboplastin time, and lactate levels, while their base excess levels were significantly increased; at the same time, the infusion volumes of colloid and crystalloid solutions in the study group were significantly reduced, whereas the infusion volumes of plasma and concentrated red blood cells were significantly increased, with the differences being statistically significant (P<0.05). Conclusion Combining restrictive fluid resuscitation with damage control resuscitation in patients with severe traumatic splenic rupture can significantly optimize their coagulation function, thereby positively improving their overall prognosis.

Restrictive fluid resuscitation; Damage control resuscitation; Traumatic splenic rupture