Wiedemann K, Just O H
Prakt Anaesth. 1977 Feb;12(1):10-20.
The pathogenesis of cardiopulmonary insufficiency in intensive-care patients is reviewed, with special reference to the development of interstitial pulmonary oedema. Measures designed to control the condition and compensate for the increased post-operative and post-traumatic calorie and aminoacid requirements are: 1. restricted fluid intake; 2. digitalization and administration of diuretics; 3. administration of highly concentrated human albumin. Potential pulmonary reactions to, and possible beneficial effects of, parenteral fat administration are discussed.
本文综述了重症监护患者心肺功能不全的发病机制,特别提及了间质性肺水肿的发展。旨在控制病情并满足术后和创伤后增加的热量及氨基酸需求的措施包括:1. 限制液体摄入;2. 使用洋地黄和利尿剂;3. 给予高浓度人血白蛋白。文中还讨论了胃肠外脂肪给药可能引起的肺部反应及其潜在益处。