Sternbach G
Stanford University Medical Center, California.
J Emerg Med. 1988 Jan-Feb;6(1):71-4. doi: 10.1016/0736-4679(88)90254-5.
Lactated Ringer's solution has been used for decades in the resuscitation of hypovolemia and hemorrhagic shock. Its origin relates to a serendipitous substitution of water in the London laboratory of Sydney Ringer in the 1880s. A number of controversies have related to the use of lactated Ringer's solution. Some of these have involved the potential exacerbation of lactic acidosis and the question of whether administration of colloid or crystalloid is preferable in severe hypovolemia. The use of hypertonic saline solutions in shock is an issue of current investigative interest.
乳酸林格氏液已在低血容量和失血性休克的复苏中使用了数十年。它的起源可追溯到19世纪80年代悉尼·林格在伦敦实验室偶然用水进行的替代。关于乳酸林格氏液的使用存在一些争议。其中一些争议涉及乳酸酸中毒的潜在加重,以及在严重低血容量时输注胶体液还是晶体液更可取的问题。休克时使用高渗盐溶液是当前研究关注的一个问题。