Current status and dilemmas for early fluid resuscitation strategy in treating acute pancreatitis: a perspective from the integrated Chinese and Western medicine
10.3760/cma.j.cn115667-20200921-00154
- VernacularTitle:急性胰腺炎早期液体复苏策略的现状与困惑——中西医结合认识汇通的启示
- Author:
Tao JIN
1
;
Wei HUNG
;
Qing XIA
Author Information
1. 四川大学华西医院中西医结合科 四川省急性胰腺炎中心,成都 610041
- From:
Chinese Journal of Pancreatology
2020;20(5):342-349
- CountryChina
- Language:Chinese
-
Abstract:
Fluid resuscitation is an important support for the early treatment of acute pancreatitis. However, the timing, volume and type of fluid, the goal of fluid resuscitation and other related issues remain unanswered. A dilemma on under- and over-resuscitation is often encountered in clinical practice. This paper summarized the recent advances on early fluid resuscitation in acute pancreatitis and proposed an early fluid resuscitation strategy of " three stages and two steps" for acute pancreatitis from a perspective of the relationship and the corresponding changes between Qi and Xue based on the Qi-Xue-Jin-Ye theory of traditional Chinese medicine by integrating the Chinese and Western medicine thoughts, which could provide some insights into optimizing the current strategy.