国际麻醉学与复苏杂志   2011, Issue (3): 0-0
    
围手术期液体治疗策略的研究进展
何征宇, 王祥瑞1()
1.上海交通大学医学院附属仁济医院
The Progress of Perioperative Fluid Therapy Strategy
 全文:
摘要:

采用合理的液体治疗策略对外科手术患者进行液体治疗是围手术期管理的重要内容,可以显著降低围手术期并发症发生率,缩短患者住院天数,改善预后。本文回顾了围手术期液体治疗策略的发展过程,对近年来该领域的研究进展(包括早期目标导向治疗、快通道外科策略、麻醉诱导期急性高容量填充以及小容量高渗盐水液体治疗等)作一综述,同时对目前尚存在争议的问题(如复苏液体种类的选择以及人工胶体的安全性等)进行总结。

关键词: 围手术期;液体治疗;晶体;胶体;
Abstract:

Adopting appropriate fluid therapy strategy for perioperative patients is essential to perioperative management, which could reduce perioperative complications, shorten hospitalization days and improve prognosis of postoperative patients. In this article, we reviewed the history and the progress of perioperative fluid therapy strategy, including early goal directed therapy, the strategy of fast track surgery, acute high-capacity perfusion during anesthesia induction and small volume hypertonic saline resuscitation. At the same time, we summarized some controversial issues such as the selection of fluid for resuscitation and the security of artificial colloid.

Key words: perioperative period; fluid therapy; crystal; colloid