院前持续出血阶段输液治疗的特点

A. Shchegolev, A. N. Gricaj, A. G. Klimov, V. Lapshin, V. Afonchikov, V. V. Shustrov, Е. U. Strukov
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引用次数: 0

摘要

文章涵盖了在院前阶段与持续不受控制的出血持有输液治疗的原则。科学工作表明,等摩尔晶体溶液在低毛细血管压力条件下是有效的,这是典型的失血。文章表明,如果在和平时期和战斗条件下怀疑持续出血,可接受的低血压的概念是输液治疗的最佳方法。对于在短期、长期和延迟的疑似持续出血患者撤离期间确保和维持静脉通路提出了建议。
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Features of the infusion therapy at the prehospital stage with the ongoing bleeding
The article covers the principles of holding the infusion therapy at the prehospital stage with the ongoing uncontrolled bleeding. The scientific work shows the effectiveness of isoosmolar crystalloid solutions in conditions of low capillary pressure, which is typical for blood loss. The article shows that the concept of an acceptable hypotension is the most optimal approach to the infusion therapy if the ongoing bleeding is suspected in peacetime as well as in combat conditions. Recommendations are given for ensuring and maintaining venous access during short, long and delayed evacuation of victims with the suspected ongoing bleeding.
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来源期刊
Sklifosovsky Journal Emergency Medical Care
Sklifosovsky Journal Emergency Medical Care Medicine-Emergency Medicine
CiteScore
0.90
自引率
0.00%
发文量
83
审稿时长
8 weeks
期刊介绍: The Journal "Neotlozhnaia meditsinskaia pomoshch" (parallel titles: Zhurnal im. N.V. Sklifosovskogo "Neotlozhnai︠a︡ medit︠s︡inskai︠a︡ pomoshch", "Sklifosovsky Journal of Emergency Medical Care") seeks to publish original research articles, literature reviews, case reports, brief reports on clinical practice, and other suitable material submitted by professionals involved in the diagnosis and treatment of acute medical and surgical conditions.
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