外科手术后病人液体治疗策略的选择

The selection of fluid therapy strategy for postoperative patients

病人接受手术后体液状态发生显著的改变,对外科病人进行合理的液体治疗可显著降低术后并发症的发生率,缩短住院时间,改善预后。以下就外科术后病人的体液变化情况、容量状态评估和确立液体治疗目标、选择液体治疗的策略和液体种类等作一综述。

The fluid status variate sharply in patients after operation. Appropriate fluid therapy is essential to reduce perioperative complications, shorten hospitalization days and improve prognosis of postoperative patients. In this article, we reviewed the relevant issues about fluid therapy strategy for postoperative patients such as the variation of body fluid in patients after operation, the assessment of fluid status, the establishment of the goal of fluid therapy and the selection of strategy or fluid for fluid therapy in patients after operation.