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10张高清PPT，详解围术期补液原则！

2021-11-27 徐医附院麻醉科 徐医附院麻醉科

补液
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尽量减少术前禁食时间，减少患者在入室前的体液丢失。

外科手术患者常因各种术前准备使液体摄人减少和（或）丢失增加。同时，手术创伤等导致的失血、引流液的丢失以及炎症细胞活化、炎症介质大量释放，循环中的中性粒细胞等与血管壁内皮细胞相互作用使得毛细血管通透性增加，均能导致血容量丢失。此外，麻醉引起的容量血管扩张则更加剧了有效循环容量的不足。

因此，围术期需采取适当的液体治疗策略以维持机体有效循环容量、满足组织灌注和细胞氧供。

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尽量减少术前禁食时间，减少患者在入室前的体液丢失。
在使用零平衡液体治疗策略时，许多围手术期医生会过于限制补液，应该推荐在手术结束时达到液体正平衡 1～2 L 的适度开放性补液方案。
由于腹部手术，患者常无法迅速过渡到经口完全补液，建议在术后采用 1.5 mL/(kg·h) 的剂量继续输液至少 24 小时。
当然，面对如高龄或存在心脏功能疾病的某些特殊患者，采用一些便于监测的指标，CVP、血压、心率、呼吸以及被动抬腿试验（或补液试验）指导术后补液可能是更合理的选择。

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    2022-07-02 ms5353107019656438

    #PPT#

    0

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    2021-11-29 licz0423

    #围术期#

    0

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    2021-11-28 查查佳佳

    型肝炎的治疗方法因直接作用抗病毒

    0

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    2021-11-27 D-House

    学习了

    0

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