关键词: 急性胰腺炎, 液体复苏

Abstract:

Many attentions in early fluid resuscitation of acute pancreatitis        SUN Bei*，SU Wei-hong. *Department of Pancreatobiliary Surgery，the First Affiliated Hospital of Harbin Medical University，Harbin 150001，China
Corresponding author：SUN Bei，E-mail：sunbei70@tom.com
Abstract    In the past decades，clinical researches have showed that fluid resuscitation plays an very important role in the early management of acute pancreatitis，which is considered as the cornerstone of early clinical management. Patients with acute pancreatitis have so large difference reaction with fluid therapy that there are many controversies in early fluid resuscitation. There are few topics should be concerned：how to choose the liquid，how to dominate the total volume of resuscitation and how to evaluate the effect of resuscitation. Crystalloid fluid is preference for rapid fluid resuscitation in the early stage of acute pancreatitis，insisting on the principle of early goal-directed therapy，assessing the effect of fluid resuscitation with regular monitoring relevance clinical indicators，adjusting the speed and the volume of fluid resuscitation so as to improve the overall treatment effect of acute pancreatitis.

Key words: acute pancreatitis, fluid resuscitation