国际麻醉学与复苏杂志   2011, Issue (6): 43-43
    
不同种类液体复苏对脓毒血症患者凝血功能的影响
赵利, 孙建良1()
1.温州医学院附属第二医院
Effects of fluid resuscitation on coagulation of patients with sepsis
 全文:
摘要:

脓毒血症是由感染引起的全身炎症反应综合症。脓毒血症本身及其发病过程中产生的炎症因子均可导致患者全身凝血功能的改变,使机体处于高凝状态。为保证组织灌注和氧供,脓毒血症的治疗指南将液体复苏治疗列为一项重要的治疗措施。但液体复苏治疗对脓毒血症患者的凝血功能究竟有何影响,目前尚无定论,因而是近期脓毒血症研究的热点之一。本文就液体复苏对脓毒血症患者凝血功能的影响作一综述。

关键词: 脓毒血症;凝血功能;液体复苏
Abstract:

Sepsis is a syndrome that is initiated by infection and is characterized by a systemic inflammatory response.Both sepsis itself and the inflammatory factors that produced during the process of the sepsis can impair the coagulation,leads to a hypercoagulation. In order to provide sufficient tissue perfusion and oxygen supply, fluid resuscitation has been one of the most important sepsis therapy guidelines.However, what would be the exact influence of fluid resuscitation on the coagulation of patient with sepsis?It has been one of the hotspots which interested people for there is no final conclusion .In this review ,we summarize the influence of fliud resuscitation on coagulation of patients with sepsis.

Key words: Sepsis;Coagulation;Fluid resuscitation