创伤性休克容量复苏的最新进展  

The latest advances of volume resuscitation in traumatic shock

作　　者：张宁(综述)[1] 尹文(审校)[1] 

机构地区：[1]解放军第四军医大学西京医院急诊科,陕西西安710032

出　　处：《中国急救医学》2014年第3期266-272,共7页Chinese Journal of Critical Care Medicine

基　　金：国家自然科学基金资助项目（81070063）

摘　　要：创伤所致的失血性休克是临床常见的危急综合征，短期内造成急性缺血、缺氧的全身性损伤。容量复苏是院前和院内未手术前治疗的首要措施，虽然容量复苏早已广泛应用于实践，但具体实施的最佳方案始终存在争议。本文对休克容量复苏近年的治疗研究进行综合分析，就复苏方法、液体选择、复苏时机、机体温度、终点评价指标以及重要并发症等综述如下。Traumatic hemorrhagic shock is a common clinical critical syndrome which caused systemic damage characterized by acute ischemia and hypoxia. Volume resuscitation is the primary therapeutic regimen of pre - hospital and preoperative treatment. Though volume resuscitation has been widely used in clinical practice long ago, the best program in specific implementation is still a bone of contention. In this paper, resuscitation methods, fluids selection, resuscitation time, temperature, evaluation index of resuscitation endpoints and the major complication were reviewed and discussed.

关 键 词：容量复苏 休克 凝血病 

分 类 号：R605.971[医药卫生—急诊医学]