摘要
液体治疗是危重病患者治疗的重要手段,在严重创伤、感染、烧伤、大手术后、病理产科等危重病患者普遍存在内环境失衡、代谢改变以及组织灌注不足等情况,继而发生全身炎性反应综合征,严重者会发生多器官功能障碍综合征。到目前为止,在液体治疗方面已经取得了很大的进展,但在液体治疗的量、液体治疗的种类以及液体治疗的目标等方面还存在很多争议,系统了解此方面的争议与研究进展对恰当指导液体治疗,减少液体治疗的并发症等方面有重要的意义。
Fluid therapy is an important means for critically ill patients, especially in patients with severe trauma, septic, burns, post-operation and the pathological obstetric etc. , in which internal environmental imbalance, metabolic changes and tissue perfusion deficiency are commonly seen, followed by systemic inflammatory response syndrome, even multiple organ dysfunction syndrome in severe cases. Much progress has been made in the fluid therapy so far,but there are still controversial as for the liquids type,volume and goal. Systematic understanding of these dispute and research progress in this area is significant to guide the fluid therapy and reduce the complications.
出处
《医学综述》
2014年第3期445-448,共4页
Medical Recapitulate
基金
天津市滨海新区塘沽科技发展项目(2010CG11-11)
天津市科学技术成果(津20130134)
关键词
液体治疗
治疗量
晶体和胶体
目标
Fluid therapy
Therapy dose
Crystal and colloid
Goal