围术期容量监测与治疗

Perioperative blood volume monitoring and therapy

围术期容量监测与治疗是临床麻醉的重要组成部分,对恢复有效血容量、保证器官组织氧供、稳定内环境等必不可少,也是术后快速康复的重要组成部分。围术期合适的容量监测手段和液体治疗,能使血流动力学达到最优化,但目前术中容量监测方案仍存在争议。本文通过对围术期各种容量监测手段的特点及其临床价值进行分析和阐述,探讨围术期容量监测与治疗策略,为预防或减少术后并发症、改善预后提供理论基础。

Perioperative blood volume monitoring and treatment is an important part of clinical anesthesia,which is essential for restoring effective blood volume,ensuring oxygen supply to organs and tissues,and stabilizing the internal environment.It is also an important part of rapid recovery after surgery.Selecting appropriate blood volume monitoring methods and reasonable fluid therapy during the perioperative period can optimize the hemodynamics of patients.But there is still some controversy about the intraoperative blood volume monitoring scheme.This article intended to analyze and review the characteristics and clinical value of various perioperative blood volume monitoring methods,and explore the strategies of perioperative blood volume monitoring and treatment,so as to provide a theoretical basis for preventing or reducing postoperative complications and improving the prognosis of patients.