腹腔复苏技术的临床应用  

Clinical application of peritoneal resuscitation technique

作　　者：乔杜娟 刘伟 姚立农 Qiao Dujuan;Liu Wei;Yao Linong(Department of Critical Medicine,Tangdu Hospital,Air Force Medical University,Xi’an 710038,China)

机构地区：[1]空军军医大学唐都医院重症医学科,西安710038

出　　处：《创伤外科杂志》2023年第6期459-463,共5页Journal of Traumatic Surgery

摘　　要：创伤失血性休克在急诊和外科中常见,病死率极高,是全球40岁以下人群的首要死因。容量复苏和血管活性药物的使用是治疗创伤失血性休克的基础,治疗目标逐渐转向微循环复苏和器官功能恢复,但尚无有效措施。腹腔复苏是一种辅助复苏技术,主要是向腹腔内灌洗不同种类的液体,不仅对液体复苏进行补充,还能改善腹腔脏器微循环,缓解组织水肿,减轻炎性反应,避免液体复苏后并发症,目前应用在创伤失血性休克、脓毒性休克、器官移植中。现就腹腔复苏的机制、方法、液体选择和临床应用进行综述,旨在为创伤失血性休克复苏治疗提供有效辅助手段。Traumatic hemorrhagic shock is common in emergency and surgical departments,presented as a high mortality rate and the leading cause of death in people under 40 years of age worldwide.In the treatment of traumatic hemorrhagic shock,volume resuscitation and the use of vasoactive drugs are the basis;and the treatment target gradually turns to microcirculation resuscitation and organ function recovery.However,there are no effective measures until now.Peritoneal resuscitation is an auxiliary resuscitation technique with the main procedures of injecting different kinds of fluids into the abdominal cavity,which not only supplements fluid resuscitation,but also improves abdominal organ microcirculation,relieves tissue edema,reduces inflammatory reaction and avoids complications after fluid resuscitation.It has been used in the management of traumatic hemorrhagic shock,septic shock and organ transplantation.This article reviews the mechanism,methods,fluid selection and clinical application of abdominal resuscitation,in order to provide an effective adjuvant therapy for traumatic hemorrhagic shock resuscitation.

关 键 词：腹腔复苏 休克 复苏 腹腔感染 

分 类 号：R656[医药卫生—外科学]