Esser H
Infusionsther Klin Ernahr. 1975 Dec;2(6):424-8.
Nowadays, above all dextran, gelatin and starch solutions are available for the infusion theraphy of the various forms of shock. The application of these volume substitutes must be strictly controlled to avoid in particular cardial and pulmonal commplications. Blood transfusion combined with a volume substitute should only be applied in cases of heavy loss of blood. The treatment of metabolic acidose which usually occurs simultaneously is carried out with an alkaline solution.
如今，右旋糖酐、明胶和淀粉溶液均可用于各种休克形式的输液治疗。必须严格控制这些容量替代物的使用，尤其要避免心脏和肺部并发症。只有在大量失血的情况下才应将输血与容量替代物联合使用。通常同时发生的代谢性酸中毒则用碱性溶液进行治疗。
