急性胰腺炎中的液体疗法-当前知识和未来前景
Miłosz Caban1, Hubert Zatorski1, Ewa Małecka-Wojciesko1
1Department of Digestive Tract Diseases, Faculty of Medicine, Medical University of Lodz, 90-153 Lodz, Poland.
Pharmaceuticals (Basel, Switzerland)
|November 27, 2025
概括
液体治疗对于急性胰腺炎 (AP) 管理至关重要. 宁格的乳酸盐比正常的盐水更好,治疗应根据患者的因素进行个性化,以获得更好的结果.
科学领域:
- 胃肠病学 胃肠病学
- 关键护理医学 关键护理医学
背景情况:
- 急性胰腺炎 (AP) 是住院的常见原因,患病率和死亡率不断增加.
- 流体治疗对于AP的初始管理至关重要,但仍然存在争议.
研究的目的:
- 审查关于急性胰腺炎流体治疗的当前知识.
- 总结最近的临床发现,并提供基于证据的建议.
主要方法:
- 在过去五年内发表的临床研究的系统审查.
- 分析有关流体类型,速率和患者特定因素的数据.
主要成果:
- 建议进行个性化流体治疗,适应体积,并发症和临床状况.
- 林格的乳酸比正常的盐水更受青,减少了ICU入院,并发症和死亡率.
- 建议适度注入并避免合物,如基乙烯粉.
结论:
- 流体治疗在治疗急性胰腺炎方面发挥着关键作用.
- 用Ringer的乳酸进行个性化液体复苏可以改善患者的治疗结果.
- 目前的证据支持在AP中注射液体的具体指南.
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