围术期的液体管理_培训课件.pptVIP

* Crystalloid solutions will expand primarily the extracellular fluid volume. It is commonly stated that crystalloids “disappear” from the circulation in a relatively short space of time. This is not entirely correct. In reality, and the crystalloids redistributed between the intravascular and extracellular compartments in proportion to the normal distribution of fluid between these two spaces: that is approximately 1: 4. Consequently, in order to achieve full volume expansion after blood loss, three to four times in the volume lost must be replaced with crystalloids alone to replenish the