基于循证证据的晶体液和胶体液选择
Evidence-based selection of crystalloid and colloid fluids
郭姗姗 1刘小会 2李草 1赵志刚1
作者信息
- 1. 首都医科大学附属北京天坛医院 药学部,北京 100070
- 2. 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
- 折叠
摘要
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.
Abstract
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.
关键词
晶体液/胶体液/液体治疗/醋酸钠林格液Key words
crystalloid solutions/colloid solutions/fluid therapy/sodium acetate Ringer's injection引用本文复制引用
基金项目
北京市医院管理局临床医学发展专项扬帆计划(ZYLX201827)
出版年
2024
NETL
NSTL
万方数据