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胶体之争:胶体有害吗?有哪些选择?

The Colloid Controversy: Are Colloids Bad and What Are the Options?

作者信息

Wong Christine, Koenig Amie

机构信息

Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, The University of Georgia, 2200 College Station Road, Athens, GA 30602, USA.

Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, The University of Georgia, 2200 College Station Road, Athens, GA 30602, USA.

出版信息

Vet Clin North Am Small Anim Pract. 2017 Mar;47(2):411-421. doi: 10.1016/j.cvsm.2016.09.008. Epub 2016 Dec 1.

DOI:10.1016/j.cvsm.2016.09.008
PMID:27914756
Abstract

Biologic and synthetic colloid solutions are frequently used to increase oncotic pressure and to treat shock. Research has shown that each product has both risks and benefits. Hydroxyethyl starches have gained a reputation for increasing risk of death, acute kidney injury, and coagulation abnormalities in people, but additional studies are needed to see whether these concerns hold true in veterinary patients. This article reviews the risks and benefits of currently available products.

摘要

生物胶体溶液和合成胶体溶液常用于提高胶体渗透压和治疗休克。研究表明,每种产品都有风险和益处。羟乙基淀粉因增加人类死亡、急性肾损伤和凝血异常的风险而声名狼藉,但还需要更多研究来确定这些问题在兽医患者中是否同样存在。本文综述了目前可用产品的风险和益处。

相似文献

1
The Colloid Controversy: Are Colloids Bad and What Are the Options?胶体之争:胶体有害吗?有哪些选择?
Vet Clin North Am Small Anim Pract. 2017 Mar;47(2):411-421. doi: 10.1016/j.cvsm.2016.09.008. Epub 2016 Dec 1.
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Colloids: current recommendations.胶体:当前建议
Vet Clin North Am Small Anim Pract. 2008 May;38(3):587-93, xi. doi: 10.1016/j.cvsm.2008.01.006.
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Fluid therapy. Crystalloids and colloids.液体疗法。晶体液和胶体液。
Vet Clin North Am Small Anim Pract. 1998 Mar;28(2):297-328. doi: 10.1016/s0195-5616(98)82006-8.
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Fluid Therapy: Options and Rational Selection.液体疗法:选择与合理应用
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Colloids in Acute Burn Resuscitation.急性烧伤复苏中的胶体
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Complications of fluid therapy.液体疗法的并发症。
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Fluid Therapy in Lung Disease.肺部疾病中的液体疗法
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The use of hetastarch for plasma expansion.羟乙基淀粉用于血浆扩容。
Probl Vet Med. 1992 Dec;4(4):652-67.
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Hydroxyethyl starch: a review of pharmacokinetics, pharmacodynamics, current products, and potential clinical risks, benefits, and use.羟乙基淀粉:药代动力学、药效学、现有产品及潜在临床风险、益处与应用综述
J Vet Emerg Crit Care (San Antonio). 2014 Nov-Dec;24(6):642-61. doi: 10.1111/vec.12208. Epub 2014 Aug 26.
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Fluid therapy for the emergent small animal patient: crystalloids, colloids, and albumin products.急诊小动物患者的液体疗法:晶体液、胶体液和白蛋白制品
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引用本文的文献

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Colloids Yes or No? - a "Gretchen Question" Answered.胶体:是或否?——一个“格雷琴问题”的答案
Front Vet Sci. 2021 Jul 2;8:624049. doi: 10.3389/fvets.2021.624049. eCollection 2021.
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Fluid resuscitation-related coagulation impairment in a porcine hemorrhagic shock model.猪失血性休克模型中液体复苏相关的凝血功能障碍
PeerJ. 2020 Feb 10;8:e8399. doi: 10.7717/peerj.8399. eCollection 2020.
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Oncotic pressure and the effects of water deprivation in healthy captive Asian elephants.圈养健康亚洲象的胶体渗透压及脱水影响
J Vet Diagn Invest. 2019 Jul;31(4):572-575. doi: 10.1177/1040638719855682. Epub 2019 Jun 11.
4
Starch Wars-New Episodes of the Saga. Changes in Regulations on Hydroxyethyl Starch in the European Union.淀粉之战——传奇新篇章。欧盟羟乙基淀粉法规的变化
Front Vet Sci. 2019 Jan 18;5:336. doi: 10.3389/fvets.2018.00336. eCollection 2018.