神经外科围术期液体治疗

Perioperative Fluid Management in Neurosurgical Patients

开放性或限制性的输液策略在神经外科围术期液体治疗中的应用仍存在争议,减轻脑水肿和保障脑组织的灌注是液体治疗的首要目的。对于液体的选择,胶体溶液略有优势。有关不同输液策略对患者预后的影响,仍需要进一步研究。本文就神经外科围术期的液体治疗予以综述。

Liberal or restrictive regimen of fluid management in neurosurgery is still a matter of controversersy. The primary goal of fluid therapy is to reduce cerebral edema and to ensure the perfusion of brain tissue. Colloid solution overweighs crystal solution to a certain degree. The impact on the outcome of different regimen requires further investigation. In this paper,perioperative fluid management in neurosurgical patients was reviewed.