急性胰腺炎的临床处理（美国胃肠病学20135）分析ppt课件.pptVIP

Initial Resuscitation and Management A prospective, randomized, controlled trial assessed the effects of bolus infusion of 20 mL/kg in the emergency department, followed by continuous infusion of 3 mL·kg-1 ·h-1, with interval assessment every 6 to 8 hours (comprising vital sign monitoring, pulse oximetry, and physical examination). Repeat volume challenge was administered if the level of BUN did not decrease. Alternatively, if the BUN level decreased, the rate of the infusion was reduced to 1.5 mL · kg-1 ·h-1. This approach was found to be safe and feasible in an acute care set