术后液体管理在结直肠外科快速流程中的应用进展

被引:12
作者
肖凌
汪晓东
李立
机构
[1] 四川大学华西医院肛肠外科
关键词
液体管理; 快速流程; 结直肠外科; 康复;
D O I
暂无
中图分类号
R656.9 [结肠];
学科分类号
摘要
目的探讨术后液体管理在结直肠外科快速流程(fast track)中的应用进展。方法查阅有关液体管理与结直肠外科的文献并进行分析。结果相对于术后开放补液,限制补液可以减少并发症发生率,减少住院时间和改善术后生存率。晶体胶体联合补液优于单纯使用晶体液。结论术后补液量和补液类型影响患者的康复情况,这也是快速流程所关注的问题。
引用
收藏
页码:593 / 596
页数:4
相关论文
共 23 条
[11]   Randomized clinical trial assessing the effect of Doppler-optimized fluid management on outcome after elective colorectal resection [J].
Noblett, S. E. ;
Snowden, C. P. ;
Shenton, B. K. ;
Horgan, A. F. .
BRITISH JOURNAL OF SURGERY, 2006, 93 (09) :1069-1076
[12]   Intraoperative fluid restriction improves outcome after major elective gastrointestinal surgery [J].
Joshi, GP .
ANESTHESIA AND ANALGESIA, 2005, 101 (02) :601-605
[13]   Effect of intraoperative fluid management on outcome after intraabdominal surgery [J].
Nisanevich, V ;
Felsenstein, I ;
Almogy, G ;
Weissman, C ;
Einav, S ;
Matot, I .
ANESTHESIOLOGY, 2005, 103 (01) :25-32
[14]  
Effect of supplemental pre‐operative fluid on postoperative nausea and vomiting*[J] . S. Z.Ali,A.Taguchi,B.Holtmann,A.Kurz.Anaesthesia . 2003 (8)
[15]   Goal-directed intraoperative fluid administration reduces length of hospital stay after major surgery [J].
Gan, TJ ;
Soppitt, A ;
Maroof, M ;
El-Moalem, H ;
Robertson, KM ;
Moretti, E ;
Dwane, P ;
Glass, PSA .
ANESTHESIOLOGY, 2002, 97 (04) :820-826
[16]  
Effect of salt and water balance on recovery of gastrointestinal function after elective colonic resection: a randomised controlled trial[J] . Dileep N Lobo,Kate A Bostock,Keith R Neal,Alan C Perkins,Brain J Rowlands,Simon P Allison.The Lancet . 2002 (9320)
[17]   Colloids versus crystalloids and tissue oxygen tension in patients undergoing major abdominal surgery [J].
Lang, K ;
Boldt, J ;
Suttner, S ;
Haisch, G .
ANESTHESIA AND ANALGESIA, 2001, 93 (02) :405-409
[18]  
Changes in weight, fluid balance and serum albumin inpatients referred for nutritional support[J] . D.N. Lobo,K. Bjarnason,J. Field,B.J. Rowlands,S.P. Allison.Clinical Nutrition . 1999 (4)
[19]  
Fatal Postoperative Pulmonary Edema[J] . Allen I. Arieff.Chest . 1999 (5)
[20]   Rapid saline infusion produces hyperchloremic acidosis in patients undergoing gynecologic surgery [J].
Scheingraber, S ;
Rehm, M ;
Sehmisch, C ;
Finsterer, U .
ANESTHESIOLOGY, 1999, 90 (05) :1265-1270