医学综述
醫學綜述
의학종술
MEDICAL RECAPITULATE
2015年
7期
1230-1232
,共3页
范志涛(综述)%李小延(审校)
範誌濤(綜述)%李小延(審校)
범지도(종술)%리소연(심교)
液体治疗%重症监护%危重患者
液體治療%重癥鑑護%危重患者
액체치료%중증감호%위중환자
Fluid therapy%Intense care%Critical patient
液体治疗是在危重患者治疗领域的一种有效措施。其根本目的在于通过补充丢失的液体量,保证有效循环血容量,改善微循环,防止并逆转组织器官低灌注,促进组织器官功能恢复。尽管目前关于液体的治疗已经取得了很大进展,但在液体治疗的量、种类以及目标等方面还存在很多争议,该文就近年来国内外相关研究进展进行综述。
液體治療是在危重患者治療領域的一種有效措施。其根本目的在于通過補充丟失的液體量,保證有效循環血容量,改善微循環,防止併逆轉組織器官低灌註,促進組織器官功能恢複。儘管目前關于液體的治療已經取得瞭很大進展,但在液體治療的量、種類以及目標等方麵還存在很多爭議,該文就近年來國內外相關研究進展進行綜述。
액체치료시재위중환자치료영역적일충유효조시。기근본목적재우통과보충주실적액체량,보증유효순배혈용량,개선미순배,방지병역전조직기관저관주,촉진조직기관공능회복。진관목전관우액체적치료이경취득료흔대진전,단재액체치료적량、충류이급목표등방면환존재흔다쟁의,해문취근년래국내외상관연구진전진행종술。
The administration of intravenous fluid to critically ill patients is one of the most important measures in the intensive care unit ( ICU ) .The fundamental targets for fluid administration include supple-mentation for fluid or blood loss,improving microcirculation,compensation for increased resistance to venous return with subconsequent reduction of preload,and maintenance of perfusion pressure under conditions of reduced vasomotor tone.Though great progress has been made in fluid treatment,there are still controversies in the dosage,type and target of the treatment,and here is to make a review of the related research progress in and out of China.