外科病人液体治疗-张丰深-20150801课件.ppt

11 Read slide: should be simple should’nt it ? 术中补液举例： 62岁、男性、体重80 kg，术式：右半结肠切除术(中等手术)； 术前夜22:00开始禁食水、早上08:00开始手术，行肠道准备； 估计手术时间3h、出血500mL。 What are his estimated intraoperative fluid requirements? Fluid deficit (NPO): 1.5 ml/kg/hr × 10 hrs = 1200 ml + 1000 ml for bowel prep = 2200 ml total deficit: (Replace 1/2 first hr, 1/4 2nd hr, 1/4 3rd hour). Maintenance: 1.5 ml/kg/hr × 3hrs = 360ml Third Space Losses: 6 ml/kg/hr × 3 hrs =1440 ml Blood Loss: 500ml × 3 = 1500ml Total = 2200+360+1440+1500=5500ml 术中补液举例Cont… 患者男、56岁、体重70kg，行左外叶切除+胆总管切开探查取石+T管引流，术中失血500ml，术毕清醒安返病房，术中补液总量为4200ml；术后第1天胃液量30