摘要
优化围手术期液体管理对患者术后康复和结局至关重要,但老年人的器官功能与年龄相关的生理变化、更复杂的外科手术常引起更大液体转移,此类患者的最佳液体管理策略尤其具有挑战性。围手术期液体管理策略不断发展和更新,但在容量状态评估、液体选择、液体给予策略或血制品使用等方面,存在着高度异质性。本综述旨在概述老年患者围手术期液体管理方面的最新进展,以期优化该群体的围手术期管理策略。
Optimizing perioperative fluid management is crucial for the postoperative recovery and outcomes of patients.However,elderly individuals often experience age-related physiological changes in organ function,and greater fluid shifts caused by more complex surgical procedures.Therefore,developing the best fluid management strategies for such patients is particularly challenging.Perioperative fluid management strategies are constantly evolving and being updated,but there remains a high degree of heterogeneity in terms of volume status assessment,fluid selection,fluid administration strategies,and use of blood products.This review aims to provide an overview of the latest advancements in perioperative fluid management for elderly patients,with the goal of optimizing perioperative management strategies for this population.
作者
王智
陆军
薄禄龙
Wang Zhi;Lu Jun;Bo Lulong(Faculty of Anesthesiology,Changhai Hospital,Naval Medical University,Shanghai,China)
关键词
液体管理
围手术期
老年患者
晶体液
Fluid management
Perioperative period
Elderly patients
Crystalline fluid
