战(创、烧)伤休克早期口服液体复苏研究进展

Progress of the studies on rescuing the shock casualties with oral fluid resuscitation

早期口服液体复苏对于提高野战及灾害等特殊条件下的休克救治水平具有重要意义。口服液体复苏研究的主要任务是:在阐明口服液体复苏机制的基础上,研究合理的口服复苏的液体配方和救治方法,目标是方便、高效,在最短时间内最大限度补充糖和电解质溶液,增加血容量,改善胃肠缺血和对口服复苏液的耐受能力,减少电解质紊乱和后继感染的发生率,纠正休克,延长生命或争取时间。

Oral fluid resuscitation in early period of hypovolemic shock is an important measure in the treatment of casualties in the battlefield as well as in mass casualties in lieu of the means of establishing a venous line. The main tasks in the study of oral rehydration resuscitation are the proposition of appropriate prescriptions of the liquids to be given and methods of administration on the basis of a clear elucidation of the mechanism underlying the function of the digestive system in regard to transportation and absorption of the given ingredients. The aim of the study is to fully replenish maximal amount of fluid containing glucose and electrolytes in a convenient, expeditious, and effective way in a minimal span of time, in order to increase circulating blood volume. At the same time, ischemia and tolerance to oral fluids of the gastro-intestinal tract should be improved, electrolyte imbalance and incidence of secondary infection should be alleviated, and finally hypovolemic shock is corrected, so that the victim is kept alive and prepared for further definitive surgical intervention.