[现代战争中的输液治疗]。

Bilten za hematologiju i transfuziju Pub Date : 1978-01-01
M Radović, J Taseski
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引用次数: 0

摘要

以往的所有经验都表明,血液、血液成分和静脉注射液的应用是现代战争创伤外科复苏管理中不可替代的治疗措施。随着全血的广泛应用,也有了其他血液成分(甚至如冷沉淀和富血小板血浆)的应用。在静脉注射溶液中,最常提到的是等渗盐水、乳酸林格氏溶液、葡萄糖盐、5%葡萄糖溶液、葡聚糖溶液,以及最近提到的人白蛋白溶液。由于肝炎病毒传播的高风险,干燥的混合人血浆较少使用。人们普遍同意,由于有足够数量的血液、血液成分和静脉注射溶液,因此降低了伤员的死亡率。静脉注射液的作用在伤员管理的初始阶段和在需要等待输血的情况下尤为重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Transfusion-infusion therapy in modern wars].

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.

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