液体复苏的策略.pptVIP

凝血功能障碍 肾脏损害 129 patients in three centres Severe sepsis / septic shock 6%HES 200/0.6 vs. 3% Gelatin Prospective RCT Renal Impairment US Committee on Fluid Resuscitation for combat casualties of Inst of Medicine Initial fluid resuscitation of battlefield hemorrhage 250ml bolus of 7.5% saline b. Clots c. No clots b. Clots c. No clots b. Clots c. No clots b. Clots c. No clots b. Clots c. No clots b. Clots c. No clots b. Clots c. No clots b. Clots c. No clots b. Clots c. No clots 明胶 右旋糖酐 白蛋白羟乙基淀粉 1991~1992年，法国49家医院， 前瞻性多中心研究，19,593例 明胶：组胺释放 右旋糖酐：抗原抗体反应 羟乙基淀粉：罕见 Prospective multi-center-trial