国际麻醉学与复苏杂志   2019, Issue (3): 0-0
    
小儿术中液体的选择与个体化治疗
宋蕴安, 侯慧艳, 顾洪斌1()
1.上海儿童医学中心
Fluid selection and individualized management in pediatric surgery
 全文:
摘要:

与成年人相比,小儿单位体重的细胞外液容积和血容量更大、代谢快、体液转运的速率更快。因此小儿对围手术期输注的液体成分的要求更高,选择合适的液体和优化个体化治疗显得尤为重要。文章首先从儿科患儿晶体溶液的选择、含糖溶液的围手术期应用、胶体的应用等方面全面阐述了小儿围手术期输液的选择。其次,从个体化液体治疗对儿科患者的意义、阶段性液体治疗策略和个体化治疗评价等三方面阐述了小儿个体化液体治疗的应用现状。最后客观评价目标导向性液体治疗在儿科应用中的意义。指导麻醉医师对儿科患者施行围手术期液体的合理治疗。

关键词: 液体管理; 个体化治疗; 小儿
Abstract:

Compared with adults, children have increases in extracellular fluid and blood volumes, metabolic rate, and fluid turnover rate relative to their body weight. Therefore, it is very important to choose appropriate liquid and optimize individualized therapy. In this review, the choice of perioperative infusion in children was comprehensively expounded from the aspects of the choice of crystal solution, the application of glucose solution and colloid in pediatric patients. Secondly, the application status of individualized liquid therapy in children was elaborated from three aspects: the significance of individualized liquid therapy for children, the strategy of stage liquid therapy and the evaluation of individualized treatment. Finally, we objectively evaluated the controversial application of goal-directed fluid therapy in pediatrics.

Key words: Fluid management; Individualized fluid management; Children