“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,問題是補充外援白蛋白有多少效果,還有如何提高白蛋白,這是三個不同的問題。根據這兩份報告,白蛋白補充的效果和適應症還需要更多的研究。就這一點,就很難指責這個醫生做錯了什麽。