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目标导向液体治疗在腹部肿瘤切除术中的应用 被引量:1
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作者 丁济飞 赵强 +2 位作者 赵宁玲 程微 王勇 《中国卫生标准管理》 2021年第5期34-37,共4页
目的探讨以每搏量变异度(stroke volume variation,SVV)指导的目标导向液体治疗与中心静脉压(central venous pressure,CVP)指导的传统补液方法在行腹部肿瘤切除术中的应用价值。方法择期行腹部肿瘤切除术的患者67例,ASAⅠ-Ⅲ级,随机分... 目的探讨以每搏量变异度(stroke volume variation,SVV)指导的目标导向液体治疗与中心静脉压(central venous pressure,CVP)指导的传统补液方法在行腹部肿瘤切除术中的应用价值。方法择期行腹部肿瘤切除术的患者67例,ASAⅠ-Ⅲ级,随机分成2组:GDFT组(G组,n=32)和传统补液组(C组,n=35)。局麻下行桡动脉穿刺及右侧颈内静脉穿刺。G组桡动脉连接Flotrac/Vigileo,以SVV、CI等指标行目标导向液体治疗;C组监测CVP、MAP,根据CVP行传统补液。记录术中晶体量、胶体量、尿量、输血量;记录入室监测后的MAP、HR、Lac等指标。结果总输液量C组高于G组,差异有统计学意义(P<0.05)。C组术中输入晶体液量高于G组,差异有统计学意义(P<0.05)。C组尿量较G组增多,差异有统计学意义(P<0.05)。术后乳酸水平C组较G组升高,差异有统计学意义(P<0.05)。两组患者胶体液、输血量、血管活性药物差异无统计学意义。两组MAP、HR差异无统计学意义(P>0.05)。结论以SVV指导的目标导向治疗在择期行腹部肿瘤切除术的患者中,能明显减少术中液体的输入,保证微循环灌注,较传统的补液方法提供更加优化的容量治疗。 展开更多
关键词 目标导向液体治疗 FLOTRAC/VIGILEO 每搏量变异度 中心静脉压 腹部肿瘤切除术 血流动力学
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Case Report: Myxoid Liposarcoma in Retroperitoneum
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作者 Janaina Gomes da Silva Cirqueira Jefferson Luiz Rodrigues Nascimento Paulo Henrique de Sousa Fernaxldes 《Journal of Pharmacy and Pharmacology》 2018年第6期587-594,共8页
Liposarcoma is a malignant neoplasm of mesodermal origin, which among sarcomas, 10% to 20% are located in the retroperitoneum. The case presented shows a 50-year-old male patient who initially presented weight loss a... Liposarcoma is a malignant neoplasm of mesodermal origin, which among sarcomas, 10% to 20% are located in the retroperitoneum. The case presented shows a 50-year-old male patient who initially presented weight loss and abdominal pain in the left iliac fossa. A tumor mass of hardened consistency was palpated in virtually all the abdomen. An abdominal ultrasound and a computed tomography of the abdomen were performed and confirmed the tumor mass. An exploratory laparotomy was performed, with removal of bulky abdominal mass of greasy consistency. A histopathological study of the piece reported myxoid liposarcoma. Clinical and prognostic features, as well as oncologic outcomes, are well known in this group of patients. The patient has been in the outpatient clinic for 7 years without tumor recurrence. Computed tomography is the fundamental study for the diagnosis of imaging. The treatment of choice consists in an aggressive approach aiming the complete resection, which is a major predictor of local and distant recurrence and survival. 展开更多
关键词 Myxoid liposarcoma RETROPERITONEUM surgery.
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