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2013, vol. 52, br. 3, str. 55-60
Terapija tečnostima kod akutnog pankreatitisa
aUniverzitet u Nišu, Medicinski fakultet
bHealth Center Negotin, Negotin
cKlinički centar Niš, Centar za anesteziologiju i reanimaciju

e-adresab.stosic@yahoo.com
Sažetak
Neposredno nakon postavljanja dijagnoze akutnog pankreatitisa, neophodan je suštinski terapijski tretman, što uključuje monitoring stanja svesti, respiratornog i kardiovaskularnog sistema, diureze, adekvatnu nadoknadu volumena tečnostima, kontrolu bola, purifikacionu terapiju krvi i nutricionu potporu. Adekvatna količina nadoknade fluida je esencijalna za stabilizaciju kardiovaskularne dinamike, a količina se prilagođava dok se ne postigne stabilnost i konstantnost cirkulatorne dinamike. Dosadašnji vodiči kliničke prakse preporučivali su agresivnu nadoknadu fluida, uprkos limitiranim prospektivnim podacima koji bi te preporuke potvrdili. Terapija fluidima ostaje kamen temeljac ranog tretmana bolesnika sa akutnim pankreatitisom i teškim akutnim pankreatitisom. Ne postoje precizni protokoli i klinički vodiči visokog nivoa tečnosti za rasuscitaciju bolesnika sa akutnim pankreatitisom. Kod bolesnika sa teškim akutnim pankreatitisom, dostupni podaci preporučuju kontrolisanu nadoknadu fluida, što omogućava najbolji oporavak bolesnika. Hematokrit ostaje koristan pokazatelj pri nadoknadi fluida u akutnom pankreatitisu. Međutim, vreme i idealna referentna vrednost tek treba da budu determinisani.
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jezik rada: engleski
vrsta rada: pregledni članak
objavljen u SCIndeksu: 23.12.2013.

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