Pflederer T A
Nephrology Associates, Peoria, IL 61603, USA.
Postgrad Med. 1996 Sep;100(3):243-4, 247-8, 251-4. doi: 10.3810/pgm.1996.09.80.
Emergency fluid resuscitation of hypovolemic patients begins with an accurate assessment of the degree of volume depletion as well as identification of the cause and associated abnormalities. On the basis of this information, the proper resuscitative fluid can be chosen and administered by the appropriate route, as guided by the urgency of the situation. Patients with severe volume depletion and those in shock require intravenous fluids. In other situations, oral rehydration is often appropriate. Specific fluids then can be tailored to the individual patient's needs and adjusted as warranted by ongoing monitoring.
低血容量患者的紧急液体复苏始于对容量缺失程度的准确评估，以及对病因和相关异常情况的识别。根据这些信息，可根据情况的紧急程度选择合适的复苏液体，并通过适当的途径进行给药。严重容量缺失的患者和休克患者需要静脉输液。在其他情况下，口服补液通常是合适的。然后可以根据个体患者的需求调整特定的液体，并根据持续监测的情况进行调整。
