一篇里说: “Available evidence from controlled trials is, however, inconclusive as to the potential benefits to be derived from correcting hypoalbuminemia. In our meta-analysis, no significant overall reduction in morbidity was demonstrable. Nonetheless, the existing controlled trial evidence is limited.”
“Further well-designed, adequately powered controlled clinical trials are needed to resolve the question whether correcting hypoalbuminemia is beneficial. Pending the results of such future studies, there does appear to be a coherent rationale for albumin replacement therapy and no compelling basis to withhold albumin if it is deemed clinically appropriate in hypoalbuminemic patients.“
另一篇:
”Albumin can bestow benefit in diverse clinical settings. Further trials are warranted to delineate optimal fluid regimens, in particular indications.“
低白蛋白不好,问题是补充外援白蛋白有多少效果,还有如何提高白蛋白,这是三个不同的问题。根据这两份报告,白蛋白补充的效果和适应症还需要更多的研究。就这一点,就很难指责这个医生做错了什么。
还需要更过的研究。
所有跟帖:
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对了,这是从你提供的链接的文章里直接copy过来的。
-Stonypoint-
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05/14/2015 postreply
20:21:23
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我可以辅导一下。这里面有两个层面的问题。
-尼罗河-
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05/15/2015 postreply
10:45:56
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呵呵,还是石头身手敏捷。
-恶俗老狼-
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05/14/2015 postreply
20:33:33
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你好好记住两点,其他问题不想与你讨论。
-尼罗河-
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05/15/2015 postreply
10:52:31