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客观监测围手术期容量治疗的量与度 被引量:8

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摘要 围术期容量治疗中,面临的问题主要有两方面,一是液体种类的选择,即输什么;二是度的把握,即输多少。真正想解决后一个问题,把握好容量治疗的度,做到既不要由于液体输入过多,造成组织水肿;又不至于由于容量不充分,影响机体组织灌注,客观反映机体容量状况的监测指标至关重要。这些(或这类)指标应该具有较好的敏感性和特异性,并可瞬时、连续地监测机体容量状况。
作者 米卫东
出处 《北京医学》 CAS 2012年第8期633-634,共2页 Beijing Medical Journal
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  • 1俞建峰,顾勤,刘宁.不同呼吸末正压对机械通气患者心脏前负荷影响及前负荷预测性指标研究[J].中国血液流变学杂志,2008,18(2):237-239. 被引量:12
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  • 4Hofer CK, Mailer SM, Furrer L, et al. Stroke volume and pulse pressure variation for prediction of fluid responsiveness in patients undergoing off-pump coronary artery bypass grafting. Chest,2005, 128:848-854.
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  • 6石学银.目标指导下的围术期容量治疗//邓小明,曾因明.主编.2011麻醉学新进展.北京:人民卫生出版社.2011:356-362.
  • 7陈旭,徐美英.FloTrac/Vigileo系统在心排出量监测中临床应用进展//2011麻醉学新进展.邓小明.曾因明.主编.北京:人民卫生出版社.2011:221-223.
  • 8Biais M, Nouette-Gaulain K, Cottencean V, et al. Uncalibrated pulse contour-derived stroke volume variation predicts fluid re- sponsiveness in mechanically ventilated patients undergoing liver transplantation. Br J Anaesth,2008,101:761-765.
  • 9Morgan GE,Mikhail MS,Murray MJ,et a1.岳云,吴新民,罗爱伦,等,译.摩根临床麻醉学.4版.北京:人民卫生出版社.2007:371.
  • 10Jabot J, Teboul JL, Richard C, et al. Passive leg raising for pre- dicting fluid responsiveness: importance of the postural change. Intensive Care Med,2009,35:85-90.

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