在急性胰腺炎中进行液体复苏
Allison L Yang1, Santhi Swaroop Vege2
1Division of Gastroenterology & Hepatology, Weill Cornell Medicine, New York, New York.
在急性胰腺炎 (AP) 中,液体复苏 (FR) 已转向中度策略,以乳酸林格为首选液体. 目前的证据不足以指导以目标为导向的治疗以获得最佳结果.
科学领域:
- 胃肠病学 胃肠病学
- 关键护理医学 关键护理医学
- 翻译医学是一种翻译医学.
背景情况:
- 液体复苏 (FR) 是急性胰腺炎 (AP) 支持性护理的基石.
- 最近的临床实践已经从积极的FR策略演变为更温和的FR策略.
- 乳酸林格溶液目前是AP中复苏的首选液体.
结论:
- 没有足够的证据来支持AP的目标导向FR疗法,以减少器官衰竭,感染性缩或死亡率.
- 在AP中指导FR的最佳方法仍未确定.
- 需要进一步的研究,以建立基于证据的指导方针FR在AP.
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