VOLUME SUBSTITUTION IN SHOCK

被引：17

作者：

HALJAMAE, H ^{[1
]}

机构：

[1] GOTHENBURG UNIV,DEPT ANAESTHESIOL,S-41124 GOTHENBURG,SWEDEN

来源：

ACTA ANAESTHESIOLOGICA SCANDINAVICA | 1993年 / 37卷

关键词：

BLOOD TRANSFUSION; COLLOIDS; CRYSTALLOIDS; DEXTRAN; FLUID TREATMENT; RESUSCITATION; SHOCK; TRAUMA;

D O I：

10.1111/j.1399-6576.1991.tb05069.x

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Shock treatment seems optimal when a ''balanced'' fluid and volume regimen, including both crystalloid (Ringer's acetate) and about 3% colloid, is used. Dextran is the colloid of choice due to its beneficial effects on plasma volume, hemorrheology, and microvascular blood flow. Dextrans exert, in addition, inhibiting effects on the shock- and trauma-induced activation of the cascade system, whereby the risk of complications in the form of multiple organ failure is reduced. Infusion of red blood cells, plasma or thrombocytes should be based on a proper assessment of each individual patient's actual need of oxygen transporters and coagulation factors.

引用

页码：25 / 28

页数：4

共 26 条

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