基于循证证据的晶体液和胶体液选择  

Evidence-based selection of crystalloid and colloid fluids

作　　者：郭姗姗 刘小会[2] 李草 赵志刚[1] GUO Shanshan;LIU Xiaohui;LI Cao;ZHAO Zhigang(Department of Pharmacy,Bejing Tiantan Hospital,Capital Medical University,Beijing 100070,China;Department of Pharmacy,Bejing Children's Hospital,Capital Medical University,National Center for Children's Health,Beijing 100045,China)

机构地区：[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

出　　处：《临床药物治疗杂志》2024年第6期1-5,共5页Clinical Medication Journal

基　　金：北京市医院管理局临床医学发展专项扬帆计划(ZYLX201827)。

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。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 preferred for fluid resuscitation in critically ill patients,while the use of hydroxyethyl starch and gelatin are not recommended.Albumin 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 

分 类 号：R977.7[医药卫生—药品] R969.3[医药卫生—药学]