围手术期氧输送优化:围手术期氧输送

B. Conte, J. L’hermite, J. Ripart, J. Lefrant
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引用次数: 6

摘要

围手术期血流动力学优化的概念是由Shoemaker在20世纪80年代早期提出的。关于氧输送优化的争议持续存在,因为最近的研究表明,这种优化的时间似乎是一个重要因素。在侵袭的初始阶段(手术期,感染性休克的初始阶段),优化容积置换可降低发病率和死亡率,而在后期,过量的容积置换可能对患者有害。本文就优化供氧的生理方法和适应症作一综述。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Perioperative optimization of oxygen delivery: PERIOPERATIVE OXYGEN DELIVERY
SUMMARY The concept of perioperative hemodynamic optimization was developed by Shoemaker in the early 1980s. The controversy concerning optimization of oxygen delivery persists as recent studies show that the timing of this optimization appears to be an essential factor. At the initial stage of aggression (operative period, initial phase of septic shock), optimization of volume replacement decreases morbidity and mortality, while at a later period excess volume replacement can be harmful for the patient. The aim of this article is to review the physiological methods and indications for optimization of oxygen delivery.
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