流体玻尿酸治疗:当前的实践
Sarah Tarplin1, Benjamin Larson2, Michael Byrne2
1Stevan Streem Center for Endourology & Stone Disease, Cleveland, Ohio.
Urology practice
|August 10, 2023
概括
静脉注射液体球体通常用于结石,但大多数患者不需要它们. 这种做法仍然存在,尽管有证据表明对急性结肠治疗没有好处.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 紧急医疗 紧急医疗
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 静脉注射液体球体是治疗尿病和急性结肠的标准急诊室实践.
- 从历史上看,液体的管理旨在促进尿管流动,但证据显示没有好处.
研究的目的:
- 评估目前在急诊室为尿病患者进行静脉注射液体玻尿剂的实践.
- 根据已确定的低血压的标准来确定是否进行液体玻尿酸注射.
主要方法:
- 用CT扫描对肺结核病 (ICD-9 592.0) 的急诊室访问进行了回顾性分析.
- 评估静脉注射液体博卢斯发生率和与低血压指标的相关性 (BUN与肌素比率>20,尿液特异性重量>1.030).
主要成果:
- 60.2%的结石病患者接受了静脉注射的液体.
- 79.12%接受液体注射的患者不符合体积耗尽的标准.
- 接受液体注射剂的患者和没有接受液体注射剂的患者之间的低血压率没有显著差异.
结论:
- 在急诊室内为尿病注射静脉液体是常见的,通常没有明显的低血压迹象.
- 目前的做法可能是由历史习惯驱动的,而不是急性结肠治疗的基于证据的指南.
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