允许性低血压复苏在创伤性失血性休克患者中的应用。
Permissive hypotensive resuscitation in patients with traumatic hemorrhagic shock.
机构信息
Division of Trauma Surgery, Department of Emergency, Kaohsiung Veterans General Hospital, 386, Da-Chung 1st Road, Kaohsiung, 813, Taiwan.
Department of Orthopaedic, Kaohsiung Veterans General Hospital, 386, Da-Chung 1st Road, Kaohsiung, Taiwan.
出版信息
Scand J Trauma Resusc Emerg Med. 2019 Feb 12;27(1):14. doi: 10.1186/s13049-019-0595-5.
We read the article "Risks and benefits of hypotensive resuscitation in patients with traumatic hemorrhagic shock: a meta-analysis" by Natthida Owattanapanich et al. with great interest and found it to be insightful. In our commentary, we propose possible reasons why mortality was lower in the permissive hypotension group and how the need for blood transfusion decreased in this group. No significant difference in acute kidney injury (AKI) was evident among patient groups, possibly because all these patients might have AKI. However, we do agree that permissive hypotension is of considerable benefit to trauma patients and worth further study.
我们饶有兴致地阅读了 Natthida Owattanapanich 等人撰写的题为“创伤性出血性休克患者低血压复苏的风险和益处：荟萃分析”的文章，该文章很有见地。在我们的评论中，我们提出了在允许性低血压组死亡率较低的可能原因，以及该组患者输血需求减少的原因。各组患者的急性肾损伤（AKI）无显著差异，可能是因为所有这些患者都可能患有 AKI。然而，我们确实认为允许性低血压对创伤患者有很大的益处，值得进一步研究。
Zotero 插件