Dontigny L
Université de Montréal, Hôpital du Sacré-Coeur, Que.
Can J Surg. 1992 Feb;35(1):31-3.
Small-volume resuscitation with hypertonic saline is an attractive modality but is still at an early stage of experimental and clinical investigation. Aggressive resuscitation from traumatic, hypovolemic shock could be facilitated during the prehospital phase, but hypotension remains a physiological and beneficial compensatory mechanism to minimize active bleeding until definitive care is provided. Despite encouraging results, the author concludes that, at present, hypertonic saline cannot be considered a truly "magic potion" for resuscitation of the trauma patient.
高渗盐水小容量复苏是一种很有吸引力的治疗方式，但仍处于实验和临床研究的早期阶段。在院前阶段，积极纠正创伤性低血容量性休克有助于复苏，但在提供确定性治疗之前，低血压仍是一种生理性且有益的代偿机制，可减少活动性出血。尽管有令人鼓舞的结果，但作者得出结论，目前高渗盐水不能被视为创伤患者复苏的真正“神奇药物”。
