急性胰腺炎的液体治疗:复苏时机、液体种类及监测方法

被引:22
|
作者
吴东
钱家鸣
机构
[1] 中国医学科学院北京协和医学院北京协和医院消化科
关键词
胰腺炎; 液体治疗; 述评;
D O I
暂无
中图分类号
R576 [胰腺疾病];
学科分类号
摘要
胰腺微循环障碍和缺血是急性胰腺炎起病阶段重要的病理生理改变,器官灌注不足是该病预后不良的危险因素。在入院后最初12~24 h液体复苏是急性胰腺炎早期最重要的内科治疗方法,及时而合理地补液有助于改善预后。但关于液体种类、输液速度及监测手段仍缺乏高质量的临床证据,有待更多的随机对照试验加以研究。
引用
收藏
页码:12 / 16
页数:5
相关论文
共 19 条
  • [1] 重症急性胰腺炎三分类的单中心探索研究[J]. 吴东,芦波,杨红,李景南,钱家鸣.中华内科杂志. 2014 (12)
  • [2] Acute pancreatitis
    Lankisch, Paul Georg
    Apte, Minoti
    Banks, Peter A.
    [J]. LANCET, 2015, 386 (9988): : 85 - 96
  • [3] The effects of fluid resuscitation according to PiCCO on the early stage of severe acute pancreatitis
    Sun, Yun
    Lu, Zhong-hua
    Zhang, Xin-shu
    Geng, Xiao-ping
    Cao, Li-jun
    Yin, Lu
    [J]. PANCREATOLOGY, 2015, 15 (05) : 497 - 502
  • [4] Detrimental effect of high volume fluid administration in acute pancreatitis – A retrospective analysis of 391 patients[J] . Gunther Weitz,Julia Woitalla,Peter Wellh?ner,Klaus Schmidt,Jürgen Büning,Klaus Fellermann.Pancreatology . 2014 (6)
  • [5] Fluid Therapy in Acute Pancreatitis: Anybody?s Guess[J] . Matthew D. Haydock,Anubhav Mittal,Heath R. Wilms,Anthony Phillips,Maxim S. Petrov,John A. Windsor.Annals of Surgery . 2013 (2)
  • [6] IAP/APA evidence-based guidelines for the management of acute pancreatitis
    Besselink, Marc
    van Santvoort, Hjalmar
    Freeman, Martin
    Gardner, Timothy
    Mayerle, Julia
    Vege, Santhi Swaroop
    Werner, Jens
    Banks, Peter
    McKay, Colin
    Fernandez-del Castillo, Carlos
    French, Jeremy
    Gooszen, Hein
    Johnson, Colin
    Sarr, Mike
    Takada, Tadahiro
    Windsor, John
    Saluja, Ashok
    Liddle, Rodger
    Papachristou, Georgios
    Singh, Vijay
    Ruenzi, Michael
    Wu, Bechien
    Singh, Vikesh
    Bollen, Thomas
    Morgan, Desiree
    Mortele, Koenraad
    Mittal, Anubhav
    En-qiang, Mao
    de Waele, Jan
    Petrov, Maxim
    Dellinger, Patchen
    Lerch, Markus M.
    Anderson, Roland
    McClave, Stephen
    Hartwig, Werner
    Bruno, Marco
    Oria, Alejandro
    Baron, Todd
    Fagenholz, Peter
    Horvath, Karen
    van Baal, Mark
    Nealon, William
    Andren-Sandberg, Ake
    Bakker, Olaf
    Bassi, Claudio
    Buchler, Markus
    Boermeester, Marja
    Bradley, Ed
    Chari, Suresh
    Charnley, Richard
    [J]. PANCREATOLOGY, 2013, 13 (04) : E1 - E15
  • [7] Burden of Gastrointestinal Disease in the United States: 2012 Update[J] . Anne F. Peery,Evan S. Dellon,Jennifer Lund,Seth D. Crockett,Christopher E. McGowan,William J. Bulsiewicz,Lisa M. Gangarosa,Michelle T. Thiny,Karyn Stizenberg,Douglas R. Morgan,Yehuda Ringel,Hannah P. Kim,Marco Dacosta DiBonaventura,Charlotte F. Carroll,Jeffery K. Allen,Suzanne F. Cook,Robert S. Sandler,Michael D. Kappelman,Nicholas J. Shaheen.Gastroenterology . 2012 (5)
  • [8] Lactated Ringer's Solution Reduces Systemic Inflammation Compared With Saline in Patients With Acute Pancreatitis
    Wu, Bechien U.
    Hwang, James Q.
    Gardner, Timothy H.
    Repas, Kathryn
    Delee, Ryan
    Yu, Song
    Smith, Benjamin
    Banks, Peter A.
    Conwell, Darwin L.
    [J]. CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2011, 9 (08) : 710 - U127
  • [9] Early Fluid Resuscitation Reduces Morbidity Among Patients With Acute Pancreatitis
    Warndorf, Matthew G.
    Kurtzman, Jane T.
    Bartel, Michael J.
    Cox, Mougnyan
    Mackenzie, Todd
    Robinson, Sarah
    Burchard, Paul R.
    Gordon, Stuart R.
    Gardner, Timothy B.
    [J]. CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2011, 9 (08) : 705 - 709
  • [10] Detailed fluid resuscitation profiles in patients with severe acute pancreatitis[J] . Damian J.Mole,AndrewHall,DermotMcKeown,O. JamesGarden,Rowan W.Parks.HPB . 2010 (1)