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A noticeable renewal of shock resuscitation strategy
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- Author:
- No author available
- Journal Title:
- CHINESE CRITICAL CARE MEDICINE
- Issue:
- 9
- DOI:
- 10.3760/j.issn:1003-0603.2006.09.001
- Key Word:
- No keyword available
Abstract： @@ 当前所采用的失血性休克复苏方法始于20世纪60年代,并被美国外科医师学院(American college of surgeons)规范在创伤生命支持高级训练课程(advanced trauma life support,ATLS)中,其主要内容是:一旦确认发生失血性休克,便立即和迅速地给予大容量输液,要求维持血压在正常范围内,直至出血被制止,这个过程被描述为"stay and treat"(停下来抢救).但近10余年来,这个经典的复苏方法正在经历重大挑战,一个新的复苏策略正在形成.
- [1]C E, Wade,G C, Kramer,J J, Grady,etc.Efficacy of hypertonic 7.5% saline and 6% dextran-70 in treating trauma: a meta-analysis of controlled clinical studies.[J].1997,122(3).
- [2]J, Turner,J, Nicholl,L, Webber,etc.A randomised controlled trial of prehospital intravenous fluid replacement therapy in serious trauma.[J].2000,4(31).
- [3]J I, Suarez,A I, Qureshi,A, Bhardwaj,etc.Treatment of refractory intracranial hypertension with 23.4% saline.[J].1998,26.
- [4]W H, Bickell,M J, Wall,P E, Pepe,etc.Immediate versus delayed fluid resuscitation for hypotensive patients with penetrating torso injuries.[J].1994,331(17).
- [5]James, Mapstone,Ian, Roberts,Phillip, Evans.Fluid resuscitation strategies: a systematic review of animal trials.[J].2003,55(3).
- [6]Champion HR.Combat fluid resuscitation: introduction and overview of conferences.[J].2003,54(5 Suppl.).
- [7]Tracy JK,Napolitano LM,Putnam AT,etc.Blood transfusion, independent of shock severity, is associated with worse outcome in trauma.[J].2003,54(5).
- [8]Evans P,Bunn F,Roberts I,etc.Is the normalisation of blood pressure in bleeding trauma patients harmful?[J].2001,357(9253).
- [9]John W, Devlin,Jeffrey F, Barletta.Albumin for fluid resuscitation: implications of the Saline versus Albumin Fluid Evaluation.[J].2005,62(6).