创伤后毛细血管渗漏综合征液体治疗策略

doi:10.3969/j.issn.1002-1949.2018.12.005

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摘要创伤后毛细血管渗漏综合征（trauma induced capillary leak syndrome， T-CLS）是严重创伤的重要并发症之一，一旦发生可能严重影响患者预后。目前, T-CLS尚无明确的诊断标准。液体治疗是T-CLS预防与治疗中非常重要的措施之一。T-CLS不同病程阶段对液体治疗的要求各不相同，创伤早期合理的复苏策略可降低T-CLS发生的风险；而T-CLS一旦发生，应根据临床分期、血管内皮损伤严重程度、循环状态，以及是否合并器官功能障碍等因素，制定个性化的液体治疗方案。本文旨在现有研究基础上探讨T-CLS液体治疗的策略。

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	陈翔宇
	刘明华

关键词 ：创伤, 毛细血管渗漏综合征(CLS), 液体治疗

通讯作者: 刘明华（1966-），男，博士，主任医师，教授，博士生导师，科主任，E-mail：mhliu4cq@aliyun.com。

作者简介: 陈翔宇（1977-），男，硕士，副主任医师，副教授，E-mail：xiangyuc@hotmail.com。

引用本文:

陈翔宇，刘明华. 创伤后毛细血管渗漏综合征液体治疗策略[J]. 中国急救医学, 2018, 38(12): 1042-1045.
Chen Xiang-yu, Liu Ming-hua. Fluid management strategies for post-trauma capillary leak syndrome. Chinese Journal of Critical Care Medicine, 2018, 38(12): 1042-1045.

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http://www.cnemergency.org.cn/CN/10.3969/j.issn.1002-1949.2018.12.005 或 http://www.cnemergency.org.cn/CN/Y2018/V38/I12/1042

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