CAJ | 학술논문

近年来,围手术期的死亡率仍在一定范围,甚至高达33%.一些术后导致严重并发症甚至死亡的病人,多是由于外科手术的原因、严重感染、呼吸衰竭、心功能不全等危险因素所致.在临床中发现这样一个现象:为什么有些病人容易发生以上严重并发症,而有些病人不易发生,从而提出了高危手术病人这一概念,并且将问题集中到了氧供需平衡这一焦点.这篇文章的目的是利用新的无创心排量监测仪,对高危手术病人进行评估,并确定目标治疗优化方案,达到最佳的组织氧供和容量负荷,提高对高危手术病人治疗的质量.
근년래,위수술기적사망솔잉재일정범위,심지고체33%.일사술후도치엄중병발증심지사망적병인,다시유우외과수술적원인、엄중감염、호흡쇠갈、심공능불전등위험인소소치.재림상중발현저양일개현상:위십요유사병인용역발생이상엄중병발증,이유사병인불역발생,종이제출료고위수술병인저일개념,병차장문제집중도료양공수평형저일초점.저편문장적목적 시이용신적무창심배량감측의,대고위수술병인진행평고,병학정목표치료우화방안,체도최가적조직양공화용량부하,제고대고위수술병인치료적질량.
One phenomena often occurs in clinic that some patients are more susceptible to serious complications than others.from which the concept of high-risk surgical patient is put forward.Why do some patients develop complications and others do not despite being seemingly same in other respects?The status of oxygen delivery/demand balance is likely a key factor for occurence of postoperative complications.This article aims to assess the high-risk patients using non-invasive cardiac output(CO)monitors and brings forward the optimal therapy to maintain tissue oxygen delivery and blood volume at the best state.