一篇裏說: “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,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。
還需要更過的研究。
所有跟帖:
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對了,這是從你提供的鏈接的文章裏直接copy過來的。
-Stonypoint-
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05/14/2015 postreply
20:21:23
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我可以輔導一下。這裏麵有兩個層麵的問題。
-尼羅河-
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05/15/2015 postreply
10:45:56
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嗬嗬,還是石頭身手敏捷。
-惡俗老狼-
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05/14/2015 postreply
20:33:33
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你好好記住兩點,其他問題不想與你討論。
-尼羅河-
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05/15/2015 postreply
10:52:31