创伤性休克容量复苏的最新进展

The latest advances of volume resuscitation in traumatic shock

创伤所致的失血性休克是临床常见的危急综合征，短期内造成急性缺血、缺氧的全身性损伤。容量复苏是院前和院内未手术前治疗的首要措施，虽然容量复苏早已广泛应用于实践，但具体实施的最佳方案始终存在争议。本文对休克容量复苏近年的治疗研究进行综合分析，就复苏方法、液体选择、复苏时机、机体温度、终点评价指标以及重要并发症等综述如下。

Traumatic hemorrhagic shock is a common clinical critical syndrome which caused systemic damage characterized by acute ischemia and hypoxia. Volume resuscitation is the primary therapeutic regimen of pre - hospital and preoperative treatment. Though volume resuscitation has been widely used in clinical practice long ago, the best program in specific implementation is still a bone of contention. In this paper, resuscitation methods, fluids selection, resuscitation time, temperature, evaluation index of resuscitation endpoints and the major complication were reviewed and discussed.