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基于循证证据的晶体液和胶体液选择

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液体治疗是重症患者常用的治疗手段,然而晶体液和胶体液的选择一直存在争议。本文从晶体液和胶体液的种类、临床应用和液体类型选择3个方面进行综述,以期为重症患者液体复苏提供指导。重症患者液体复苏首选醋酸钠林格液等平衡盐晶体液,不推荐使用羟乙基淀粉和明胶。脑外伤或神经重症患者不推荐使用白蛋白维持治疗。
Evidence-based selection of crystalloid and colloid fluids
Fluid therapy is a common intervention in the management of critically ill patients,yet there has been ongoing controversy regarding the choice between crystalloid and colloid fluids.This article offers a comprehensive review of the types,clinical applications,and the selection of crystalloids and colloid fluids,aiming to provide guidance for fluid resuscitation in critically ill patients and serve as a reference for related studies.Balanced crystalloids such as acetate Ringer's solution are pre-ferred for fluid resuscitation in critically ill patients,while the use of hydroxyethyl starch and gelatin are not recommended.Al-bumin maintenance therapy is not suggested for patients with brain trauma or severe neurological conditions.

crystalloid solutionscolloid solutionsfluid therapysodium acetate Ringer's injection

郭姗姗、刘小会、李草、赵志刚

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首都医科大学附属北京天坛医院 药学部,北京 100070

国家儿童医学中心 首都医科大学附属北京儿童医院 药学部,北京 100045

晶体液 胶体液 液体治疗 醋酸钠林格液

北京市医院管理局临床医学发展专项扬帆计划

ZYLX201827

2024

临床药物治疗杂志
北京药学会

临床药物治疗杂志

CSTPCD
影响因子:1.07
ISSN:1672-3384
年,卷(期):2024.22(6)
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