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浅述颅脑损伤围手术期液体管理

赵崇法

继续医学教育2016,Vol.30Issue(5):134-135,2.
继续医学教育2016,Vol.30Issue(5):134-135,2.DOI:10.3969/j.issn.1004-6763.2016.05.080

浅述颅脑损伤围手术期液体管理

Brief Introduction of Perioperative Fluid Management of Craniocerebral Injury

赵崇法1

作者信息

  • 1. 天津市海河医院麻醉科,天津 300350
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摘要

Abstract

The management of lfuid in patients with severe craniocerebral l injury during perioperative period is still controversial, mainly in the dispute of crystal and colloid--"dry" and "wet". Craniocerebral injury operation time is long and also tends to large amount of bleeding. Commonly, dehydration treatment causes hypovolemia, electrolyte disorder, and intraoperative infusion need also increases significantly, however, the high volume of lfuid may affect the intracranial pressure, brain tissue perfusion and clinical outcome. Therefore, effective cerebral perfusion and oxygenation, appropriate intracranial pressure is the ideal target of fluid management during anesthesia for craniocerebral injury operation.

关键词

颅脑损伤/围术期/液体管理

Key words

Craniocerebral injury/Perioperative/Fluid management

分类

医药卫生

引用本文复制引用

赵崇法..浅述颅脑损伤围手术期液体管理[J].继续医学教育,2016,30(5):134-135,2.

继续医学教育

1004-6763

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