关键词: 白蛋白, 复苏, 围手术期, 液体复苏

Abstract:

Controversies and consensus on albumin in perioperative fluid resuscitation        YU Wen-kui，SHI Jia-liang，ZHU Wei-ming. Department of General Surgery，Nanjing General Hospital of Nanjing Military Command of PLA，Nanjing 210002，China
Corresponding author：ZHU Wei-ming，E-mail：juwiming@126.com
Abstract    Resuscitation is required in patients with systemic inflammatory response syndrome from trauma，surgical stress and sepsis. Fluid therapy is targeted primarily at restoring intravascular volume and improving organs function. Human albumin is a natural colloid used as volume expander in resuscitation，but its use in resuscitation remains hotly debated. Recent studies found no difference in outcomes in patients receiving albumin or saline despite some evidence that resuscitation with albumin is safe and result in greater intravascular volume. Best practice for fluid resuscitation in surgical patients must consider the types，timing，and volume of fluids，which still demands clinical study of high quality.

Key words: albumin, resuscitation, perioperative period, fluid resuscitation