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Updated: May 16, 2025

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创伤患者在重症监护室内选择静脉注射液疗法:一个范围审查

Aaron McKee¹, Nancy Moriber², Joni Tornwall³

¹Aaron McKee is a Doctor of Nursing Practice student specializing in adult/gerontology acute care, The Ohio State University College of Nursing, Columbus, Ohio.

Critical care nurse

|April 1, 2025

概括

对于创伤患者来说,液体的选择并不那么重要,除了创伤性脑损伤 (TBI) 患者. 对于TBI患者来说,一般的盐水是首选的,而其他液体通常可以用于创伤复苏.

科学领域:

关键护理医学关键护理医学
创伤外科手术创伤外科
液体复苏复苏液体复苏复苏

背景情况:

在重症患者的静脉内液体复苏是有争议的.
对于创伤患者选择流体的证据有限.

研究的目的:

审查目前对创伤患者静脉注射液体复苏的建议.
评估液体选择对患者结果的影响.

主要方法:

使用乔安娜·布里格斯研究所框架进行范围审查.
对10篇关于结晶体和合体溶液的文章的评价.

主要成果:

在主要不良结果 (死亡率,AKI,LOS) 与晶体类型没有显著差异,除了TBI患者.
正常的盐水在创伤性脑损伤 (TBI) 患者中显示出好处.
专和高血压盐水通常是安全的辅助剂,除了TBI.

结论:

在创伤患者中,平衡晶体和正常盐水是可互换的,不包括TBI.
由于成本和缺乏证明的益处,使用白蛋白作为一线复苏是有问题的.
高血压盐水可能有利于延迟腹部关闭的患者.

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