Trauma and aggressive homeostasis management.
Trauma and aggressive homeostasis management.
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DOI：
10.1016/j.atc.2006.11.003
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发表时间：
2007-03-01
影响因子：
--
通讯作者：
Neligan, Patrick
中科院分区：
文献类型：
--
作者：
Baranov, Dimitry;Neligan, Patrick
在创伤患者的急性护理中，与应激反应直接相关的三个重要问题是高血糖、乳酸酸中毒和体温过低。最近，人们对研究积极的热和葡萄糖浓度以及容量复苏对危重病和创伤患者结局的影响重新产生了兴趣。有重要的理由质疑与恢复该患者群体体内平衡的当前方法有关的“传统智慧”。
Three important issues concerning homeostasis in the acute care of trauma patients that are related directly to the stress response are hyperglycemia, lactic acidosis, and hypothermia. Recently, there has been a resurgence of interest in investigating the effects of aggressive thermal and glucose concentration and volume resuscitation on outcomes in critically ill and trauma patients. Significant reason exists to question the "conventional wisdom" relating to current approaches to restoring homeostasis in this patient population.