CAJ | 학술논문

及时识别和治疗儿童脓毒性休克是改善预后,降低病死率的关键.然而,目前仍缺乏儿童脓毒症液体复苏的统一认识.最近关于发热和灌注不足儿童的大量液体复苏的支持疗法研究结果更是引发人们对儿童液体复苏容量治疗的激烈讨论.该文就大量液体复苏的支持疗法的现状和可能机制进行分析.
급시식별화치료인동농독성휴극시개선예후,강저병사솔적관건.연이,목전잉결핍인동농독증액체복소적통일인식.최근관우발열화관주불족인동적대량액체복소적지지요법연구결과경시인발인문대인동액체복소용량치료적격렬토론.해문취대량액체복소적지지요법적현상화가능궤제진행분석.
Early recognition and treatment of pediatric septic shock is key strategy to improve prognosis and reduce the mortality,yet controversy still surrounds the current fluid therapy approach.Recently,the results of the Fluid Expansion as Supportive Therapy (FEAST) trial in African children with severe febrile and hypoperfusion illnesses challenge many established principles about pediatric fluid resuscitation,and lead to intense discussion.This review is to describe the current fluid supportive therapy and possible potential mechanisms of increased death associated with bolus resuscitation.