战伤休克的液体复苏进展

一般战伤,休克的发生率为10％～15％,未来高技术局部战争,休克的发生率可高达25％～30％。约50％的战伤伤员因失血休克而死,所以战(创)伤休克伤员的早期救治非常重要。近年来随着对休克病理生理、发病机制、组织体液及氧代谢研究的不断深入,世界各国(包括军队)在战(创)伤休克的液体复苏时机、早期液体复苏方法与原则、复苏终点与标准,以及复苏液体的选择上作了许多有益探索,提出了许多新的观点和概念。本文重点对这方面的进展作一概述。

Advances in fluid resuscitation from combat shock

The morbidity of shock in conventional combat is about 10%-15%. It is estimated that during the high-tech combat in the future it will be up to 25%-30%. Data from many sources showed that approximately 50% of combatants who died were as a result of hemorrhage. So it is very important to implement early management for war wound (or traumatic )shock. Based on the profound research and understanding of the pathogenesis of shock, the metabolism of tissue fluid and oxygen in recently years, government and military departments in many countries have made many beneficial explorations in resuscitation time,resuscitation approaches and principles, resuscitation endpoints and criteria, and the choice of fluids for war wound (or traumatic)shock, some new concepts and viewpoints have been raised.