安徽医科大学学报2016，Vol.51Issue(11)：1672-1675,1676,5.DOI:10.19405/j.cnki.issn1000-1492.2016.11.028
控制性低中心静脉压对精准肝脏切除手术患者术中出血量和术后转归的影响
Effect of controlled low central venous pressure on intraoperative blood loss and postoperative outcome in patients undergoing precision liver resection
摘要
Abstract
Objective To investigate the effect of controlled low central venous pressure( LCVP ) on intraoperative blood loss and postoperative outcome in patients undergoing precision liver resection. Methods Forty patients scheduled for precision liver resection were randomly divided into the control group and the low central venous pres-sure ( LCVP ) group. Patients in LCVP group were maintained CVP≤0. 49 kPa by the methods of adjusting the position and infusing drugs, the CVP of the patients in the control group was not intervened. Arterial blood gas was analyzed at five minutes before anesthesia induction(T0), five minutes before liver resection(T1), five minutes af-ter liver resection(T2), at the end of surgery(T3). Intraoperative blood loss volume and fluid infusion volumes were recorded. Recovery time of postoperative gastrointestinal function, postoperative complications and postopera-tive length of hospital stay were observed. Results There was no significant difference in basic data between the control group and the LCVP group. Compared with the control group, fluid infusion volumes of the LCVP group decreased significantly ( P<0. 05 ) , intraoperative urinary volume of the LCVP group increased significantly ( P<0. 05). There were no significant differences in blood loss volume, blood gas analysis, recovery time of postopera-tive gastrointestinal function, postoperative complication rates and length of hospital stay between the two groups. Conclusion In patients undergoing precision liver resection, the technique of controlled low central venous pres-sure can not reduce the intraoperative blood loss volume and change the postoperative outcomes.关键词
控制性低中心静脉压/精准肝脏手术/术中出血量/术后转归Key words
controlled low central venous pressure/precision liver resection/intraoperative blood loss volume/post-operative outcome分类
医药卫生引用本文复制引用
王雷,张雷,刘训芹,陈立建,郑立东,顾尔伟..控制性低中心静脉压对精准肝脏切除手术患者术中出血量和术后转归的影响[J].安徽医科大学学报,2016,51(11):1672-1675,1676,5.基金项目
安徽省科技攻关计划项目(编号:1301042204) （编号:1301042204）
