血浆扩张期间的高氯血症酸中毒:体液和高氯血症酸中毒

B. Tavernier, Sébastien Faivre, C. Bourdon
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引用次数: 2

摘要

许多晶体和胶体血浆扩张剂可诱发“高绿血症”代谢性酸中毒。50多年前首次报道的这一发现,随着最近“平衡”解决方案的出现,重新引起了人们的兴趣。在就这些解决办法的使用提出建议之前,必须处理和回答几个问题。酸中毒和高氯血症总是相伴而行吗?高氯血症酸中毒的临床影响是什么?所有“平衡”的等离子体膨胀机都是等效的吗?等渗盐基等离子体扩张器应该放弃吗?这篇简短的评论总结了反思的几个要素。在现有文献的基础上,客观上不可能提出明确的指导方针。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hyperchloremic acidosis during plasma expansion: FLUIDS AND HYPERCHLOREMIC ACIDOSIS
SUMMARY Many crystalloid and colloid plasma expanders can induce ‘hyperchloremic’ metabolic acidosis. This finding, first reported over 50 years ago, has received renewed interest following the recent availability of ‘balanced’ solutions. Several questions must be addressed and answered before making recommendations with regard to the use of these solutions. Do acidosis and hyperchloremia always go hand in hand? What is the clinical impact of hyperchloremic acidosis? Are all ‘balanced’ plasma expanders equivalent? Should isotonic saline-based plasma expanders be abandoned? Several elements of reflection are summarized in this brief review. On the basis on the currently available literature, it is not objectively possible to propose clear-cut guidelines.
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