重症急性胰腺炎液体复苏的临床研究进展
Progress of Clinical Research on Fluid Resuscitation in Severe Acute Pancreatitis
DOI: 10.12677/acm.2024.1451530, PDF,   
作者: 张 丹：宁夏医科大学总医院(第一临床医学院)，宁夏 银川；赵晓红*：宁夏医科大学总医院消化内科，宁夏 银川
关键词: 重症急性胰腺炎；液体复苏；液体类型；补液目标；Severe Acute Pancreatitis； Fluid Resuscitation； Liquid Type； Fluid Replenishment Target
摘要: 重症急性胰腺炎(severe acute pancreatitis, SAP)是指伴有持续的器官功能衰竭 > 48 h以上的胰腺炎，约占急性胰腺炎的5%~10%。SAP患者病情危重，常伴有微循环障碍、脓毒性休克、腹内压增高(intra-abdominal hypertension, IAH)等严重并发症。液体复苏作为SAP患者治疗的基石，可增加器官灌注从而改善临床预后。由于SAP病情的严重性及复杂性，多种因素均可影响补液治疗效果，导致液体复苏共识较难达成。本文旨在对目前SAP患者液体复苏的临床研究进展进行综述和总结。
Abstract: Severe acute pancreatitis (SAP), characterized by persistent organ failure for more than 48 hours, accounts for about 5 to 10 percent of acute pancreatitis. SAP patients are in critical condition, often accompanied by microcirculation disturbance, septic shock, intra-abdominal hypertension IAH and other serious complications. Fluid resuscitation, as the cornerstone of treatment for SAP patients, can improve clinical outcomes by increasing organ perfusion. Due to the severity and complexity of SAP, many factors can affect the efficacy of fluid rehydration therapy, resulting in a difficult consensus on fluid resuscitation. The purpose of this article is to review and summarize the clinical research progress of fluid resuscitation in SAP patients.
文章引用：张丹, 赵晓红. 重症急性胰腺炎液体复苏的临床研究进展[J]. 临床医学进展, 2024, 14(5): 1095-1100. https://doi.org/10.12677/acm.2024.1451530

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