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頁籤選單縮合
題 名 | 創傷液體復甦最新發展=The Current Concept of Trauma Fluid Resuscitation |
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作 者 | 周志道; 周少鈞; 陳之凱; | 書刊名 | 中華民國重症醫學雜誌 |
卷 期 | 7:3 民95 |
頁 次 | 頁126-134 |
分類號 | 416.284 |
關鍵詞 | 晶質液體; 膠質液體; 羥乙基澱粉; 新鮮冷凍血漿; 白蛋白; 重組活化第七凝血因子; Crystalloid; Colloid; Hydroxyethyl starch; Fresh frozen plasma; Albumin; Restrictive fluid resuscitation; Blood substitute; Recombinant activated factor Ⅶ; |
語 文 | 中文(Chinese) |
中文摘要 | 創傷病患的液體復甦處理是急重症相關醫學的一大挑戰。創傷病患產生出血性休克時血容積的減少會刺激交感神經代償作用,而血管收縮導致的組織低灌注會產生組織缺氧、乳酸堆積及各種細胞漿的釋出引發全身炎症反應,當全身血容積恢復時,會將急性期所缺氧產生的氧自由基循環到全身,導致再灌注傷害,造成血管壁及細胞的二度傷害。 創傷病患液體復甦臨床上除評估出血性休克嚴重程度外,對病患年齡、共存的疾病、創傷型態、有無合併頭部或脊椎創傷、有無肺傷害等因素都會須同時考慮。近年來晶質液體與膠質液體的比較、新鮮冷凍血漿、白蛋白及限制創傷輸液等相關議題的實證醫學陸續發表。 對創傷液體復甦可能有重大影響的血液代用品及重組活化第七凝血因子也積極的對創傷病患進行人體試驗,希望能有效改善創傷病患存活率及減少併發症。創傷病患出血性休克後致死的三部曲--失溫、酸中毒及凝血功能失調,是對創傷病患液體復甦同時不能忽略的處理。 |
英文摘要 | The fluid resuscitation of traumatic patients presents special challenge for emergency and critical care medicine. In hemorrhagic shock, an acute reduction in blood volume leads to sympathetic compensation by peripheral vasoconstriction which causes tissue hypoperfusion and eventually leads to anaerobic metabolism and acidosis. Tissue hypoxia, acidosis and various cytokines releases lead to systemic inflammatory response. After systemic circulation is restored, reperfusion injury due to free oxygen radicals released during acute hypoxic stage may occur. It is essential to evaluate each traumatic victim for type of injury, age, co-morbid disorder and concurrent head or spinal injury. The trauma triad of death after hemorrhagic shock: hypothermia, acidosis, and coagulopathy must be taken into account during trauma fluid resuscitation. Abundant evidences related to the use of crystalloid/colloid, hydroxyethyl starch, fresh frozen plasma, albumin, and restrictive fluid resuscitation in trauma fluid resuscitation have been demonstrated and specific strategies have been proposed accordingly. Future promising products such as blood substitutes and recombinant activated factor VII are currently being tested in advanced clinical trials. |
本系統中英文摘要資訊取自各篇刊載內容。