心力衰竭低血容量管理进展

Progress in management of low blood volume in heart failure

临床上心力衰竭最常用的治疗方法是利尿，但是很容易忽略另外一个截然相反的治疗方法——补液治疗。无论是心力衰竭高容量负荷的利尿治疗还是心力衰竭低血容量的补液治疗，两者都需要对患者进行早期治疗。在临床工作中心力衰竭低血容量患者并非少见，但又很容易疏忽，为了防止过度利尿，那么准确判断心力衰竭患者是否存在低血容量显得尤为重要。

Diuretic treatment is the most common clinical treatment of heart failure, but it is easy to overlook another opposite treatment, rehydration treatment. Early treatment is required for patients with heart failure, whether it is high-capacity intensive diuretic therapy or low-volume fluid replacement therapy. Heart failure patients with low blood volume are not uncommon in clinical work, but it is easy to neglect. In order to prevent excessive urination, accurately determining whether there is a low blood volume in patients with heart failure, is particularly important.