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儿科静脉维持液张力的研究进展

  • 王颖莉 ,
  • 杨纲
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  • 四川大学华西医院 1. 血液科, 2. 小儿外科(四川成都 610041)

收稿日期: 2016-09-15

  网络出版日期: 2016-09-15

Research progress in pediatric intravenous fluid tension

  • WANG Yingli ,
  • YANG Gang
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  • 1. Department of Hematology, 2. Department of Pediatric Surgery, Sichuan University, Huaxi Hospital, Chengdu 610041, Sichuan, China

Received date: 2016-09-15

  Online published: 2016-09-15

摘要

儿科患者经常需要静脉输注维持液,目前常用的维持液张力有1/5张、1/2张和等张,其中1/5张甚至无张力 的维持液仍然经常被使用。近年来,大量严格设计的高质量随机对照试验和荟萃分析证实,与传统的低张力维持液相比较, 1/2张或等张的维持液能有效减少急性低钠血症的发生,同时不会导致高钠血症、高氯血症等不良反应,多个国家指南也 推荐将1/2张和等张液体作为标准的维持液体使用。文章综述儿科静脉维持液使用的现状及近年来的研究进展。

本文引用格式

王颖莉 , 杨纲 . 儿科静脉维持液张力的研究进展[J]. 临床儿科杂志, 2016 , 34(9) : 708 . DOI: 10.3969/j.issn.1000-3606.2016.09.017

Abstract

Pediatric patients usually require intravenous infusion maintenance fluid. Currently, maintenance fluid with 1/5 tension, 1/2 tension, and isotonic contraction were commonly used and fluid with 1/5 tension and even with no tension is still commonly used. In recent years, a large number of high quality randomized controlled trials and meta analyses showed that compared with the traditional low tension maintenance fluid, 1/2 tension or isotonic maintenance fluid can effectively reduce the incidence of acute hyponatremia and the adverse reactions such as hypernatremia while hypernatremia were not caused. A number of national guidelines also recommend the use of 1/2 tension or isotonic contraction as a standard for maintaining liquid. In this paper, the present status and recent progress in the use of intravenous maintenance fluid in pediatric patients were reviewed.
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