Belzberg H, Cornwell E E, Berne T V
Department of Surgery, Los Angeles County + University of Southern California Medical Center, USA.
Surg Clin North Am. 1996 Aug;76(4):971-83. doi: 10.1016/s0039-6109(05)70490-4.
The management of pulmonary support in trauma patients is a balance of risk versus benefit. Decisions must be based upon the patient's physiologic needs, with constant attention to the potential complications of the therapy. The avoidance of renal failure by volume replacement, careful attention to the use of potentially nephrotoxic agents, and close monitoring of renal function can reduce the incidence and severity of this serious complication of trauma. If renal failure does occur, aggressive renal replacement therapy with either intermittent hemodialysis or CRRT should be tailored to the clinical situation.
创伤患者肺部支持的管理是风险与获益之间的平衡。决策必须基于患者的生理需求，同时持续关注治疗的潜在并发症。通过容量复苏避免肾衰竭、谨慎使用潜在肾毒性药物以及密切监测肾功能，可降低创伤这一严重并发症的发生率和严重程度。如果确实发生肾衰竭，应根据临床情况调整采用间歇性血液透析或连续性肾脏替代治疗（CRRT）的积极肾脏替代疗法。
