液体治疗在急性肠梗阻治疗中价值及评价  

Fluid therapy for acute bowel obstruction: The value and its evaluation

作　　者：陈鸣[1] 虞文魁 CHEN Ming;YU Wen-kui(Department of Critical Care Medicine,the Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院重症医学科

出　　处：《中国实用外科杂志》2019年第12期1298-1301,共4页Chinese Journal of Practical Surgery

摘　　要：肠梗阻是外科常见的急腹症之一,其救治的首要任务是通过液体治疗纠正因消化液丢失、炎症渗出增加导致的有效循环血容量不足,并稳定病人的血流动力学状态。因此,根据肠梗阻病人体液丢失的病理生理学特点,正确选择液体治疗的时机、液体量和成分以及科学合理地根据心脏前负荷、组织灌注和氧代谢评估液体治疗效果是优化肠梗阻液体治疗的关键。Bowel obstruction is one of the common acuteabdominal diseases in surgery. The primary task of itstreatment is to replace the effective circulating blood volumelost caused by loss of digestive juice and increased exudationof inflammation through fluid therapy,and stabilize thehemodynamic state of patients. Therefore,optimizing thetiming,amount and composition of fluid therapy according tothe pathophysiological characteristics of fluid loss in patientswith bowel obstruction,and evaluating the effect of fluidtherapy scientifically and reasonably by the cardiac preload,tissue perfusion and oxygen metabolism are the keys to improve fluid therapy for bowel obstruction.

关 键 词：肠梗阻 液体治疗 心脏前负荷 组织灌注 氧代谢 

分 类 号：R6[医药卫生—外科学]