中华胃肠外科杂志
中華胃腸外科雜誌
중화위장외과잡지
CHINESE JOURNAL OF GASTROINTESTINAL SURGERY
2013年
1期
18-21
,共4页
胃肠外科%液体治疗%急性弥漫性腹膜炎
胃腸外科%液體治療%急性瀰漫性腹膜炎
위장외과%액체치료%급성미만성복막염
Gastrointestinal surgery%Fluid therapy%Acute diffuse peritonitis
外科液体治疗一直是关注的热点并存在争议.本文就液体治疗对术后肠道功能的影响、液体治疗对外科预后的影响和急性弥漫性腹膜炎围手术期液体治疗三方面进行讨论.应该注意在低灌注状况下胶体的补充和适当的晶/胶体比例.不同液体种类的选择在近年来的研究中未显示出远期效果的显著差异.关注2012 SSC严重脓毒症及脓毒性休克指南更新中液体治疗新证据.
外科液體治療一直是關註的熱點併存在爭議.本文就液體治療對術後腸道功能的影響、液體治療對外科預後的影響和急性瀰漫性腹膜炎圍手術期液體治療三方麵進行討論.應該註意在低灌註狀況下膠體的補充和適噹的晶/膠體比例.不同液體種類的選擇在近年來的研究中未顯示齣遠期效果的顯著差異.關註2012 SSC嚴重膿毒癥及膿毒性休剋指南更新中液體治療新證據.
외과액체치료일직시관주적열점병존재쟁의.본문취액체치료대술후장도공능적영향、액체치료대외과예후적영향화급성미만성복막염위수술기액체치료삼방면진행토론.응해주의재저관주상황하효체적보충화괄당적정/효체비례.불동액체충류적선택재근년래적연구중미현시출원기효과적현저차이.관주2012 SSC엄중농독증급농독성휴극지남경신중액체치료신증거.
Fluid therapy has been the focus of attention and dispute.In this paper,there are three aspects including postoperative bowel function,surgical prognosis,and acute diffuse peritonitis.Colloidal supplement and appropriate crystal /colloid ratio should be noted in low perfusion conditions.The different types of fluid in recent studies did not show a significant difference in the long term.The new evidence will be noted in fluid therapy among 2012 SSC Severe Sepsis and Septic Shock Guideline update(unpublished).