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New perspectives of volemic resuscitation in polytrauma patients:a review

Burns & Trauma 2016年第1期4卷 34-40页

作者： Ovidiu Horea Bedreag Marius Papurica Alexandru Florin Rogobete Mirela Sarandan Carmen Alina Cradigati Corina Vernic Corina Maria Dumbuleu radu nartita Dorel Sandesc Clinic of Anaesthesia and Intensive Care Emergency County Hospital"PiusBrinzeu"Bd.Iosif Bulbuca nr.10TimisoaraTimisRomania. Faculty ofMedicine "Victor Babes"University of Medicine and PharmacyTimisoaraRomania. Clinic of Anaesthesia and Intensive Care Emergency County Hospital"PiusBrinzeu"Bd.Iosif Bulbuca nr.10TimisoaraTimisRomania. Faculty ofMedicine "Victor Babes"University of Medicine and PharmacyTimisoaraRomania. Faculty of Chemistry BiologyGeographyWest University of TimisoaraTimisoaraRomania. Clinic of Anaesthesia and Intensive Care"Casa Austria" EmergencyCounty Hospital"Pius Brinzeu"TimisoaraRomania. Faculty ofMedicine "Victor Babes"University of Medicine and PharmacyTimisoaraRomania. Clinic of Anaesthesia and Intensive Care Emergency County Hospital"PiusBrinzeu"Bd.Iosif Bulbuca nr.10TimisoaraTimisRomania. Faculty of Chemistry BiologyGeographyWest University of TimisoaraTimisoaraRomania.

Nowadays,fluid resuscitation of multiple trauma patients is still a challenging *** therapies for volume replacement in severe haemorrhagic shock can lead to adverse reactions that may be fatal for the *** presenting with multiple trauma often develop hemorrhagic shock,which triggers a series of metabolic,physiological and cellular *** disorders combined,lead to complications that significantly decrease survival rate in this subset of *** and electrolyte resuscitation is chal enging due to many factors that *** management can lead to post-resuscitation systemic inflammation causing multiple organ failure and ultimately *** literature,there is no exact formula for this purpose,and opinions are *** paper presents a review of modern techniques and current studies regarding the management of fluid resuscitation in trauma patients with hemorrhagic *** to the literature and from clinical experience,al aspects regarding post-resuscitation period need to be ***,for every case in particular,emergency therapy management needs to be rigorously respected considering al physiological,biochemical and biological parameters.

关键词： Multiple trauma Fluid resuscitation Intensive care Electrolyte imbalance

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