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每搏变异度指导胃肠道手术病人容量治疗的效果 被引量：7

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摘要 容量治疗是围术期管理的一个重要部分，尤其对于胃肠道手术病人，容量不足可引起组织低灌注，尤其是持续的胃肠黏膜低灌注可能诱发全身炎性反应综合征；容量过多可引起胃肠道水肿，导致粘膜屏障受损，菌群移位，易发生呼吸、循环系统并发症，影响术后恢复。而胃肠道手术病人，因疾病本身的病理生理变化、术前肠道准备、术中体液丢失、
作者 陆正荷 钟泰迪 陈益君 黄长顺
机构地区 宁波市第一医院麻醉科 浙江大学医学院附属邵逸夫医院麻醉科
出处 《中华麻醉学杂志》 CAS CSCD 北大核心 2010年第5期632-634,共3页 Chinese Journal of Anesthesiology
关键词 胃肠道水肿 容量治疗 手术病人 变异度 全身炎性反应综合征 病理生理变化 术前肠道准备 围术期管理
分类号 R614 [医药卫生—麻醉学]
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参考文献10

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同被引文献67

  • 1江志伟,李宁,黎介寿.快速康复外科的概念及临床意义[J].中国实用外科杂志,2007,27(2):131-133. 被引量：1350
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  • 4Branchtmp B, Svensen C, Engqnist A. Hemorrhage and operation cause a contraction of the extracellular spaceneedin replacement--evidence and implications? A systematic review. Surgery, 2006,139(3) :419-432.
  • 5Bennett-Guerrero E, Welsby I, Dunn TJ, et al. The use of a postoperative morbidity survey to evaluate patients with prolonged hospitalization after routine, moderate-risk, elective surgery. Anesth Analg, 1999,89(2) :514-519.
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  • 7Conway DH, Mayall R, Ahdul-Latif MS, et al. Randomized controlled clinical trial investigating the influence of intravenous fluid titration using oesophageal Doppler monitoring during bowel surge~. Anaesthesia, 2002,57(9) : 845-849.
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  • 9Wakeling HG, McFall MR, Jenkins CS, et al. Intraoperative oesophageal Doppler guided fluid management shortens postoperative hospital stay after major bowel surgery. Br J Anaesth, 2005,95 ( 5 ) : 634-642.
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引证文献7

二级引证文献42

中华麻醉学杂志
2010年 第5期

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