Trunkey D, Holcroft J, Carpenter M A
JACEP. 1976 Apr;5(4):249-52. doi: 10.1016/s0361-1124(76)80002-0.
Monitoring data in 16 primates subjected to septic or hemorrhagic shock and resuscitated with various solutions is presented. From a paractical standpoint, central venous pressure and urine output appear to be the best indices to use in the emergency department for resuscitation of the shock victim. The sophisticated measurements such as cardiac output, thermodye volumes, pulmonary artery wedge pressure and oxygen consumption should be reserved for the individual with depressed cardiovascular reserves and who needs "fine tuning" of his volume status.
本文展示了对16只遭受感染性或失血性休克并使用各种溶液进行复苏的灵长类动物的监测数据。从实际角度来看,中心静脉压和尿量似乎是急诊科用于休克患者复苏的最佳指标。诸如心输出量、热染料容积、肺动脉楔压和氧耗量等复杂测量应保留给心血管储备功能低下且需要对其容量状态进行“精细调整”的个体。