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目的：探讨限制性液体复苏对全髋关节置换术后低血压性休克患者的影响，为其临床应用提供指导。方法收集中山市中医院自2013年3月至2014年7月行人工全髋关节置换术后出现低血压性休克的患者60例，随机分为限制性液体复苏组（A组）30例和充分液体复苏组（B组）30例。术后12 h比较两组输液量、输血量及实验室检查：血小板计数（PLT）、凝血酶原时间（PT）、血气剩余碱（BE）的情况；术后1周比较并发症发生率。结果限制性液体复苏组的输液量和输血量分别为（2650±319）ml和（0.8±0.3）U，均少于充分液体复苏组的（3157±330）ml和（1.7±0.4） U；实验室指标：限制性液体复苏组的PT为（10.5±1.3）s，少于充分液体复苏组的（16.2±2.1）s， PLT数量和BE分别为（277±88）×109/L和（-7.0±5.3）mmol/L，均高于充分液体复苏组的（231±83）×109/L和（-10.0±6.0）mmol/L。限制性液体复苏组并发症发生率为6.6%，也低于充分液体复苏组的10%。除并发症发生率外，其他所有指标差异均有统计学意义（P<0.05）。结论对全髋关节置换术后低血压休克患者采用限制性液体复苏能减少输液量和输血量，减少代谢性酸中毒及术后并发症的发生，更适合临床应用。“,”ObjectiveTo explore the restrictive liquid recovery influence on patients with hypotension shock after total hip replacement and provide guidance for its clinical application.Methods Collected 60 patients with hypotension shock after total hip replacement in our department from March 2013 to July 2014, randomly divided into full liquid recovery groups 30 cases (group A) and restrictive fluid resuscitation group 30 cases (group B). 12 hours after the surgery,comparing two groups of infusion quantity, blood transfusion volume and experiment examination which including in The platelet count (PLT), prothrombin time (PT), blood gas residual alkali (BE); A week after the surgery, compared the incidence of complications. ResultsIn terms of infusion quantity, restrictive liquid recovery(2650±319)mL is less than liquid fully recovery(3157±330)mL;In terms of blood transfusion volume, restrictive liquid recovery(0.8±0.3)U is less than liquid fully recovery(1.7±0.4)U; Axperiment examination: In terms of prothrombin time, restrictive liquid recovery(10.5±1.3)s is less than liquid fully recovery(16.2±2.1)s;In terms of the platelet count,restrictive liquid recovery(277±88)×109/L is more than liquid fully recovery(231±83)×109/L;In terms of BE,restrictive liquid recovery(-7.0±5.3)mmol/L is more than liquid fully recovery(-10.0±6.0)mmol/L;Restrictive liquid recovery(6.6%) is less than liquid fully recovery(10%) in the incidence of complications; In addition to the incidence of complications, all index of difference had statistical significance (P<0.05).Conclusion Hypotension shock after the total hip replacement patients with restrictive liquid recovery can decrease infusion quantity and blood transfusion volume, reduce the metabolic acidosis and postoperative complications, more suitable for clinical application.