%0 Journal Article
%T 人血白蛋白在多发伤患者治疗中应用时机的探讨<br>Discussion on the Application Time of Human Blood Albumin in the Treatment of Multiple Injury Patients
%A 冯慧珍
%A 李琳业
%J Advances in Clinical Medicine
%P 13849-13856
%@ 2161-8720
%D 2023
%I Hans Publishing
%R 10.12677/ACM.2023.1391936
%X 人血白蛋白是一种重要的血浆补充物。它在多发伤患者的治疗中发挥着重要作用，可以维持血容量、血压和血浆蛋白质浓度的平衡，防止组织水肿和休克的发生。然而，人血白蛋白在多发伤患者治疗中的应用时机存在争议，具体使用的适应症尚不明确。但人血白蛋白的应用时机不同，对多发伤患者产生的疗效也不一样。近年来，多发伤患者休克早期目标导向治疗(EGDT)方案成为国内外争议的热点，专家们对其看法不一，但其强调的尽早改善组织低灌注的核心思想仍具有重要的指导地位。“尽早”是多早？尽早的“液体”又有哪些选择？尽早添加胶体是否值得推荐？目前学术界对此尚无统一结论，本文结合近期进展对上述问题进行探讨。基于此，考察人血白蛋白的应用时机在多发伤患者治疗中的临床疗效。本文通过查阅相关文献以及分析目前的研究成果，探讨人血白蛋白在多发伤患者治疗中的应用时机，以期为相关临床工作提供参考。<br />
Human blood albumin is an important plasma supplement. It plays an important role in the treat-ment of patients with multiple injuries, maintaining the balance of blood volume, blood pressure and plasma protein concentration, and preventing the occurrence of tissue edema and shock. How-ever, the application timing of human blood albumin in the treatment of patients with multiple in-juries is controversial, and the specific indications for its use are still unclear. However, the applica-tion time of human blood albumin is different, and the effect on patients with multiple injuries is also different. In recent years, the early goal-directed therapy (EGDT) program for shock in patients with multiple injuries has become a hot topic at home and abroad, and experts have different opin-ions on it, but the core idea of improving tissue hypoperfusion as soon as possible is still an im-portant guiding position. How early is “as soon as possible”? What are the options for early “liquid”? Is the early addition of colloids recommended? At present, there is no unified conclusion in the ac-ademic circle. This paper discusses the above problems based on the recent progress. Based on this, the clinical effect of the application time of human blood albumin in the treatment of patients with multiple injuries was investigated. By referring to relevant literature and analyzing the current re-search results, this paper discusses the application time of human blood albumin in the treatment of patients with multiple injuries, so as to provide reference for related clinical work.
%K 人血白蛋白，多发伤，治疗，应用时机<br>Human Blood Albumin
%K Multiple Injuries
%K Treatment
%K Application Timing
%U http://www.hanspub.org/journal/PaperInformation.aspx?PaperID=71558