Ogbu Ogbonna C, Murphy David J, Martin Greg S
aDivision of Pulmonary, Allergy, Critical Care and Sleep Medicine, Department of Medicine, Emory University bGrady Health System cEmory Critical Care Center, Emory Healthcare, Atlanta, Georgia, USA.
Curr Opin Crit Care. 2015 Aug;21(4):315-21. doi: 10.1097/MCC.0000000000000211.
This review highlights the recent evidence describing the outcomes associated with fluid overload in critically ill patients and provides an overview of fluid management strategies aimed at preventing fluid overload during the resuscitation of patients with shock.
Fluid overload is a common complication of fluid resuscitation and is associated with increased hospital costs, morbidity and mortality.
Fluid management goals differ during the resuscitation, optimization, stabilization and evacuation phases of fluid resuscitation. To prevent fluid overload, strategies that reduce excessive fluid infusions and emphasize the removal of accumulated fluids should be implemented.
本综述重点介绍了近期有关危重症患者液体超负荷相关结局的证据，并概述了旨在预防休克患者复苏期间液体超负荷的液体管理策略。
液体超负荷是液体复苏的常见并发症，与医院成本增加、发病率和死亡率升高相关。
在液体复苏的复苏、优化、稳定和撤离阶段，液体管理目标有所不同。为预防液体超负荷，应实施减少过多液体输注并强调清除蓄积液体的策略。
