Parrisius R, Parrisius A, Kraft W
Tierarztl Prax. 1985;13(1):81-103.
Underlying principle for fluid therapy is the knowledge about distribution of body water (60% of body weight) into compartments: intra- and extracellular fluid (ICF, ECF) cover respectively one half, one sixth of the latter fills the intravascular system. According to the concentration of ions and molecules in the lost fluids, dehydration is classified into hypertone, hypotone and isotone. Clinical assessment and laboratory examination (PCV, hemoglobin, total protein, urine analysis, electrolyte and blood gas evaluation) are crucial features for determination of dehydration rate, acid-base and electrolyte imbalances. Derangements of body-fluid and electrolyte metabolism and their treatment are discussed. The quantity of fluids necessary for rehydration of the patient is calculated on the basis of clinical findings. Overhydration risk has to be considered more seriously in cats than dogs. Intravenous, subcutaneous, oral and intraperitoneal infusions are feasible. A survey to technical aspects and required instruments is presented in conclusion.
液体疗法的基本原理是了解人体水分(占体重的60%)在各腔隙中的分布情况:细胞内液和细胞外液(ICF、ECF)分别占一半,后者的六分之一填充血管系统。根据丢失液体中离子和分子的浓度,脱水分为高渗性、低渗性和等渗性。临床评估和实验室检查(红细胞压积、血红蛋白、总蛋白、尿液分析、电解质和血气评估)是确定脱水率、酸碱和电解质失衡的关键特征。讨论了体液和电解质代谢紊乱及其治疗方法。根据临床检查结果计算患者补液所需的液体量。猫比狗更需重视补液过量的风险。静脉、皮下、口服和腹腔内输注都是可行的。最后介绍了技术方面和所需器械的概况。