Haljamäe H
Department of Anaesthesiology, University of Göteborg, Sweden.
Acta Anaesthesiol Scand Suppl. 1993;98:25-8. doi: 10.1111/j.1399-6576.1991.tb05069.x.
Shock treatment seems optimal when a "balanced" fluid and volume regimen, including both crystalloid (Ringer's acetate) and about 3% colloid, is used. Dextran is the colloid of choice due to its beneficial effects on plasma volume, hemorheology, and microvascular blood flow. Dextrans exert, in addition, inhibiting effects on the shock- and trauma-induced activation of the cascade system, whereby the risk of complications in the form of multiple organ failure is reduced. Infusion of red blood cells, plasma or thrombocytes should be based on a proper assessment of each individual patient's actual need of oxygen transporters and coagulation factors.
当采用“平衡”的液体和容量疗法，包括晶体液（醋酸林格液）和约3%的胶体液时，休克治疗似乎最为理想。右旋糖酐是首选的胶体液，因为它对血浆容量、血液流变学和微血管血流有有益作用。此外，右旋糖酐对休克和创伤诱导的级联系统激活具有抑制作用，从而降低了多器官功能衰竭形式并发症的风险。红细胞、血浆或血小板的输注应基于对每个患者实际氧转运体和凝血因子需求的适当评估。
