摘要
儿科患者经常需要静脉输注维持液,目前常用的维持液张力有1/5张、1/2张和等张,其中1/5张甚至无张力的维持液仍然经常被使用。近年来,大量严格设计的高质量随机对照试验和荟萃分析证实,与传统的低张力维持液相比较,1/2张或等张的维持液能有效减少急性低钠血症的发生,同时不会导致高钠血症、高氯血症等不良反应,多个国家指南也推荐将1/2张和等张液体作为标准的维持液体使用。文章综述儿科静脉维持液使用的现状及近年来的研究进展。
Pediatric patients usually require intravenous infusion maintenance fluid. Currently, maintenance fluid with 1/5 tension, 1/2 tension, and isotonic contraction were commonly used and fluid with 1/5 tension and even with no tension is still commonly used. In recent years, a large number of high quality randomized controlled trials and meta analyses showed that compared with the traditional low tension maintenance fluid, 1/2 tension or isotonic maintenance fluid can effectively reduce the incidence of acute hyponatremia and the adverse reactions such as hypernatremia while hypernatremia were not caused. A number of national guidelines also recommend the use of 1 / 2 tension or isotonic contraction as a standard for maintaining liquid. In this paper, the present status and recent progress in the use of intravenous maintenance fluid in pediatric patients were reviewed.
出处
《临床儿科杂志》
CAS
CSCD
北大核心
2016年第9期708-711,共4页
Journal of Clinical Pediatrics
关键词
维持液
低钠血症
液体治疗
儿童
maintenance fluid
hyponatremia
liquid therapy
child
