Early goal-directed fluid therapy with fresh frozen plasma reduces severe acute pancreatitis mortali

来源 :中华医学杂志(英文版) | 被引量 : 0次 | 上传用户:dffder
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Hemodynamic instability plays a major role in the pathogenesis of systemic inflammation,tissue hypoxia,and multiple organ dysfunction syndrome associated with severe acute pancreatitis (SAP).Aggressive fluid replacement is one of the key interventions for the hemodynamic support in severe acute pancreatitis.1Although the need for fluid resuscitation in severe pancreatitis is well established,the goals and components of this treatment are still a matter of debate.We used resuscitation strategies according to early goaldirected therapy (EGDT);we measured the effects of these volume resuscitation on clinical outcomes such as organ function and mortality.Because frozen plasma is cheaper and more easily acquired than albumin for patients,we hypothesized that fluid resuscitation with frozen plasma according to EGDT would be associated with reduced incidence of organ failure and mortality as compared with individuals resuscitated with normal crystalloid and plasma substitute volume resuscitation.
其他文献
Background It is well recognized that meteorological factors have important influences on the onset and development of many kinds of diseases.The present study
2004年安全生产活动月前夕,本刊记者专程访问了中共湖南省委副书记、省长周伯华。记者(以下简称记):周省长,近年来党中央、国务院对安全生产越来越重视,今年初国务院召开了全
Background The diagnosis of Pneumocystis pneumonia (PCP) in immunocompromised patients is still challenging today due to the absence of an in vitro culture syst
战斗在基层一线的湖南煤矿安全监察员终于有了自己的“家”-6月6日,常德煤矿安全监察办事处在成立3周年的日子里喜迁新居。湖南煤矿安全监察局领导谢光祥、许冬生、曹永仕及
随着科技水平的不断提高,我国农业发展速度十分迅猛,与之密切相关的产业——农药工业也就当之无愧成了世界的老大之一,目前我国农药产量仅次于美国,位居第二。2006年我国农药
副省长启动仪式,采访团出发“请认真组织好‘安全生产月’活动,以此提高全民安全意识,促进各项安全措施的落实,切实保护人民群众利益。”6月8日,周伯华省长对开展“安全生产
6月19日,湖南省“安全生产三湘行”新闻采访团从郴州返回长沙,在京珠高速公路湖南段行驶3个多小时,连续看见几起车祸,令人心惊肉跳。上午9时30分许,车队从郴州市驶上京珠高速
6月11日,晴空万里,艳阳高照。具有三湘第一县之称的长沙县城中心广场上,鲜花盛开,彩旗飘扬。由县委、县政府主办的“安全·星沙”宣传月活动大型启动仪式正在这里举行。 Jun
日前,白沙煤电集团马田煤业公司对在开展安全质量标准化竞赛活动中因重视不够、组织不力、所负责的“亮点工程”不亮的8名矿级领导分别做出相应处理。 A few days ago, Bais