休克患者的快速补液方式介绍与进展  

Introduction and progress of rapid fluid rehydration in shock patients

作　　者：刘晓斌 张巍 张昊 孙明杰 LIU Xiaobin;ZHANG Wei;ZHANG Hao;SUN Mingjie(Hepatobiliary Surgery,General Hospital of Northern Theater Command,Shenyang,Liaoning,110000,China)

机构地区：[1]中国人民解放军北部战区总医院肝胆外科,辽宁沈阳110000

出　　处：《当代医学》2023年第24期181-185,共5页Contemporary Medicine

基　　金：2019年度辽宁省自然科学基金计划指导计划项目(2019-ZD-1062)。

摘　　要：目前针对休克患者的补液方式主要有外周静脉补液、中心静脉补液、静脉切开补液和骨髓腔补液4种。由于休克患者对补液速度、补液量和补液药物均有较高要求,但上述补液方式存在各自的局限性,所以一种补液方式通常难以满足临床需求。胸骨穿刺补液的出现,可在一定程度上弥补当前方法存在的缺陷,为抢救患者提供了一种新的方式。本院作为军队医院,结合自身特殊职责及自身经历,对重症患者合理的补液方式进行比较及阐述。At present,there are four kinds of fluid replacement methods for shock patients peripheral venous fluid replacement,central venous fluid replacement,intravenous incision fluid replacement and bone marrow cavity fluid replacement.Because the shock patient has the high request to the rehydration speed,the rehydration quantity and the rehydration medicine,but above-mentioned rehydration way also has the respective limitation,therefore one kind of rehydration way often can not satisfy the clinical demand.The appearance of sternal puncture and fluid infusion can make up for some defects of current methods and provide a new way for rescuing patients.Our hospital as a military hospital,combined with their own special duties and their own experience,critical patients to choose a reasonable way to do the following comparison and elaboration.

关 键 词：休克 外周静脉补液 中心静脉补液 静脉切开补液 骨髓腔补液 

分 类 号：R459.7[医药卫生—急诊医学]