限制性输液（国外英文资料）.doc

限制性输液（国外英文资料） The fluid and colloidal fluid increased appropriately and the equilibrium salt solution increased to 1000 ~ 1500m, l Hess 1000ml is prepared for at least 800m and l total fluid In more than 2500 ml. Bleeding: for open injury patients, in the rapid infusion at the same time, on the activity of the open wound is bleeding give ligation hemostasis and pressure bandage hemostasis. The use of vasopressors: after added a certain amount of liquid, such as blood pressure in patients with no obvious, giving vasopressors: dopamine hydroxylamine between 015 ~ 1 mg/kg, 012 ~ 015 mg/kg. GDT scheme GDT requires liquid therapy to be aimed at: central venous pressure (CVP) at 8 to 12 cm H2O (1 cm H2O = 0.098 kPa). Average arterial pressure (MAP) reaches 65 to 90 mm Hg (1 mm Hg = 0.133 kPa); The amount of urine is greater than 0.5 ml/kg - 1 min -1; If the MAP is lower than 65 mm Hg, it is maintained by the active drug. Central venous blood oxygen saturation (ScvO2) should be greater than 70%, if ScvO2 is lower than 70%, the red blood cells to maintain RBC deposited input is greater than 30%, ScvO2 remains less than 70%, use the dobutamine 2.5 ~ 20 mu g · · min - 1 kg - 1. GDT liquid treatment processes as shown in figure 1. Figure 1 GDT treatment process The application of restricted fluid in obstetrics and gynecology Restrictive fluid theory is maturing, and has been used for hemorrhagic shock and choice During the operation, good clinical results were obtained. The theories and approaches that have been borrowed On the basis of bed research, it is feasible to introduce it into gynecology clinic. In obstetric On the application, only the research report of yu yanghong was observed at home and abroad. Yu Yangong in 2004 For the first time, the model of a non-controlled hemorrhagic shock and pregnancy rabbit was established On the basis of the early liquid recovery, the method and variety of liquid recovery are made Multiple studies have been proposed to treat the restr