ICU液体管理-副本.ppt

In summary, the crystalloid colloid debate can be simplified to one that addresses the nature of the fluid loss sustained. Virtually all fluid loss incorporates some degree of extracellular fluid depletion, and consequently, it is appropriate to commence most fluid replacement regimens with crystalloid solutions. However, in ongoing losses where plasma volume has been lost, it seems logical to use colloids for this replacement, particularly where the fluid loss is large requiring more than 3 l of resuscitation fluids. Blood should only be given to replace lost red cell mass. ALI患者而无组织灌注不良时,