Miller J D
Dr Gray's Hospital, Elgin, Morayshire, United Kingdom.
Drugs. 1988;36 Suppl 4:91-8. doi: 10.2165/00003495-198800364-00012.
An increasing awareness that bowel absorptive function can be maintained or returned to normal soon after trauma or abdominal injury and the formulation of glucose/electrolyte solutions specifically designed to be rapidly absorbed from the small bowel are responsible for the current trend of early oral rehydration and decreasing use of intravenous fluids in surgical patients. Much of this article is devoted to observations and results of clinical trials on surgical patients in Aberdeen Royal Infirmary and Dr Gray's Hospital, Elgin. To date, the results of early oral rehydration after surgery have been sufficiently encouraging to create changes in the routine fluid resuscitation and management protocols in several areas of surgical practice at these centres.
人们越来越意识到,在创伤或腹部损伤后不久,肠道吸收功能可以维持或恢复正常,并且专门设计的葡萄糖/电解质溶液能够从小肠快速吸收,这导致了当前外科患者早期口服补液的趋势以及静脉输液使用的减少。本文大部分内容致力于对阿伯丁皇家医院和埃尔金格雷医院的外科患者进行的临床试验的观察和结果。迄今为止,手术后早期口服补液的结果令人鼓舞,足以促使这些中心在外科实践的几个领域改变常规的液体复苏和管理方案。