Radović M, Taseski J
Bilt Hematol Transfuz. 1978;6(2):11-20.
All previous experiences have shown that the application of blood, blood components and intravenous solutions presents an unreplaceable therapeutical measure in modern surgical-resuscitative management of war injuries. Together with the broad application of the whole blood, there have been also used other blood components (even such as cryoprecipitate and platelet rich plasma). Among intravenous solutions the most frequently mentioned were isotonic saline, Ringer's lactate solution, glucosaline, 5% dextrose solution, dextran solutions and, recently, human albumin solutions. Due to a high risk of transmission of hepatitis virus, the dried pooled human plasma is less frequently used. There is the generally accepted agreement that availability of the sufficient quantity of blood, blood components and intravenous solutions resulted in the decreased mortality of the wounded. The role of intravenous solutions is of particular importance in the initial phase of management of the wounded and in the situations when it is necessary to wait for blood.
以往所有经验均表明,在现代战伤外科复苏治疗中,输注血液、血液成分及静脉输液是不可替代的治疗措施。随着全血的广泛应用,其他血液成分(如冷沉淀和富含血小板血浆)也得以使用。在静脉输液中,最常提及的是等渗盐水、乳酸林格氏液、葡萄糖盐水、5%葡萄糖溶液、右旋糖酐溶液,以及近来的人血白蛋白溶液。由于存在较高的肝炎病毒传播风险,冻干混合人血浆的使用频率降低。人们普遍认为,充足的血液、血液成分及静脉输液供应可降低伤员死亡率。静脉输液在伤员救治初期以及需要等待血液时的作用尤为重要。