CAJ | 학술논문

液体治疗是围手术期的重要治疗手段.选择正确的输液和合理的治疗策略可以著降低围手术期并发症,缩短患者住院天数,改善预后.围手术期液体治疗的历史发展是一个对“选择晶体或胶体”、“选择开放或限制补液”等有争议问题不断总结、探索、论证的前进过程.在这个过程中,广大医师对具体的围手术期治疗策略有了更深层次的认识,出现了诸如目标导向性液体治疗,早期目标导向治疗、快速通道外科等临床上有显著疗效的具体治疗策略.本文对围手术期液体治疗的进展进行综述.
액체치료시위수술기적중요치료수단.선택정학적수액화합리적치료책략가이저강저위수술기병발증,축단환자주원천수,개선예후.위수술기액체치료적역사발전시일개대“선택정체혹효체”、“선택개방혹한제보액”등유쟁의문제불단총결、탐색、론증적전진과정.재저개과정중,엄대의사대구체적위수술기치료책략유료경심층차적인식,출현료제여목표도향성액체치료,조기목표도향치료、쾌속통도외과등림상상유현저료효적구체치료책략.본문대위수술기액체치료적진전진행종술.
Liquid therapy is a vital method of perioperative treatment.Choosing correct kinds of transfusion and reasonable therapy strategies can significantly reduce the perioperative complications and shorten days in hospital and improve the critical patients prognosis.The historical development of perioperative liquid therapy is a forward process,which is about crystalloids vs.cilloid,dry vs.wet,and other controversial problems continuing to be summarized,explored and discussed.In this process,there are some specific perioperative treatment strategies with the physician having a deeper cognitive,such as goal-directed therapy,early goal directed therapy and fast track surgery which have significant clinical curative effect.This article summarizes the advance of perioperative liquid therapy.