Brown Andrew J, Otto Cynthia M
Department of Small Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, MI 48824, USA.
Vet Clin North Am Small Anim Pract. 2008 May;38(3):653-75, xiii. doi: 10.1016/j.cvsm.2008.01.008.
Fluid therapy in the patient with vomiting and diarrhea is essential to correct hypovolemia, dehydration, acid-base imbalance, and serum electrolyte abnormalities. Prediction of acid-base or electrolyte disturbances is difficult; therefore, point of care testing is beneficial to optimize therapy. This article focuses on the pathophysiology and treatment of hypovolemia, dehydration, electrolyte disturbances, and acid-base derangements resulting from and associated with vomiting and diarrhea.
对呕吐和腹泻患者进行液体治疗对于纠正血容量不足、脱水、酸碱失衡及血清电解质异常至关重要。预测酸碱或电解质紊乱很困难;因此,即时检测有助于优化治疗。本文重点关注由呕吐和腹泻引起及与之相关的血容量不足、脱水、电解质紊乱和酸碱失调的病理生理学及治疗。