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医院中的晶体溶液:对现有文献的综述
Viraj Panchal1, Barath Prashanth Sivasubramanian2,3, Vikramaditya Samala Venkata4
1Medicine, Smt. Nathiba Hargovandas Lakhmichand (NHL) Municipal Medical College, Ahmedabad, IND.
Cureus
|June 26, 2023
概括
选择合适的静脉注射液 (IVF) 对住院患者至关重要. 在某些疾病 (如败血症) 中,平衡的晶体可能比正常盐水 (NS) 提供更好的结果,减少并发症.
科学领域:
- 关键护理医学 关键护理医学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 紧急医疗 紧急医疗
背景情况:
- 静脉注射液 (IVF) 在医院护理中至关重要,但不当使用会导致20%的患者出现并发症.
- 常见的IVF包括正常盐水 (NS) 和林格的乳酸盐 (RL).
研究的目的:
- 审查目前关于静脉注射液体最佳使用的证据.
- 在各种临床场景中比较与不同IVF相关的结果.
主要方法:
- 观察性研究和随机试验的系统审查.
- 对手术,重症病,败血症和胰腺炎患者的试管婴儿疗效和安全性的分析.
主要成果:
- 正常的盐水 (NS) 可能会导致手术患者的高性代谢酸性过敏症;没有明显的死亡率差异与平衡的晶体化物.
- 平衡的晶体质对重症患者,尤其是败血症患者有好处,与NS相比,减少并发症和死亡率.
- 林格的乳酸 (RL) 首选用于烧伤;在胰腺炎中使用NS增加了ICU入院风险,但没有显著的长期结果差异.
- 血酸可能加快糖尿病酸性症的解决;长时间使用NS与代谢性酸性,急性损伤和脑有关.
结论:
- NS,RL和Plasma-lyte是常见的同位素试管婴儿.
- 选择试管婴儿必须根据临床情景进行量身定制,以避免不良结果.
- 在特定患者群体中,平衡晶体可能优于NS,特别是在危急疾病和败血症中.
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