CAJ | 학술논문

目的评价甘露醇用于颅脑外科手术患者液体反应性试验的可靠性.方法择期行颅脑外科手术患者62例,性别不限,年龄18～64岁,ASA分级Ⅰ或Ⅱ级,体重指数18～25 kg/m2,麻醉诱导后行机械通气,行中心静脉和桡动脉穿刺置管术,连接FloTracTM/VigileoTM监测系统,用于监测每搏量变异度.输注甘露醇前根据每搏量变异度确定有效循环血容量水平.液体反应性试验:颅骨钻孔时开始静脉输注20％甘露醇,经20 min输注250 ml,记录输注甘露醇结束时液体反应性试验情况.结果液体反应性试验的灵敏度和特异度分别为43％和44％.结论甘露醇不适用于颅脑外科手术患者液体反应性试验.
목적 평개감로순용우로뇌외과수술환자액체반응성시험적가고성.방법 택기행로뇌외과수술환자62례,성별불한,년령18～64세,ASA분급Ⅰ혹Ⅱ급,체중지수18～25 kg/m2,마취유도후행궤계통기,행중심정맥화뇨동맥천자치관술,련접FloTracTM/VigileoTM감측계통,용우감측매박량변이도.수주감로순전근거매박량변이도학정유효순배혈용량수평.액체반응성시험:로골찬공시개시정맥수주20％감로순,경20 min수주250 ml,기록수주감로순결속시액체반응성시험정황.결과 액체반응성시험적령민도화특이도분별위43％화44％.결론 감로순불괄용우로뇌외과수술환자액체반응성시험.
Objective To evaluate the reliability of mannitol for fluid responsiveness test in the patients undergoing intracranial surgery.Methods Sixty-two ASA physical status Ⅰ or Ⅱ patients,aged 18-64 yr,with body mass index of 18-25 kg/m2,scheduled for elective intracranial surgery,were enrolled in the study.The patients were mechanically ventilated after induction of anesthesia.The radial artery and central vein were cannulated,and FloTracTM/VigileoTM system was connected for stroke volume variation monitoring.Before infusion of mannitol,effective circulating blood volume was confirmed according to stroke volume variation.20％ mannitol 250 ml was infused over 20 min starting from onset of craniotomy.The fluid responsiveness test was recorded at the end of mannitol infusion.Results The sensitivity of fluid responsiveness test was 43％,and the specificity of fluid responsiveness test was 44％.Conclusion Mannitol can not be used for fluid responsiveness test in the patients undergoing intracranial surgery.