围手术期的处理及补液（Perioperative management and fluid replacement）.doc

围手术期的处理及补液（Perioperative management and fluid replacement） Perioperative management and fluid infusion.Txt By the appointment of the moderator, we will give a talk on perioperative treatment and fluid replacement for comrades in arms to study, discuss and improve. I hope that my comrades will criticize me. First of all, the topic of rehydration is discussed. Fluid problem involves a broader, more clinical applications is an important problem, it can be said that he is related to each of US medical treatment safety and each patients life safety problem, so we must pay attention to. Over the years, I have a deep understanding, sometimes clinically successful surgery, but sudden postoperative unexplained death occurred in every hospital, and sometimes medical disputes occur. This situation, regardless of the patients family and clinicians are unprepared. Unfortunately, almost all cases appear to have been attributed to infarction of vital organs, ignoring the patients internal environmental disorder. So, can the internal environment disorder lead to the death of the patients? This is the understanding of the internal environment. The importance of rehydration in the internal environment, I believe, is fully understood by every clinician. But through my study and application, it is difficult to understand and grasp because the introduction of the textbook is more scattered. Therefore, I make a summary of my understanding. The whole body is composed of a large number of liquid and a large number of cells, cell survival in liquid environment, so the change of liquid composition and quantity and dynamics will directly affect the living environment of the cell, such as the change of living environment of myocardial cells can lead to arrhythmias, changes in brain cell survival environment can lead to cell edema and atrophy depression may, arrhythmia and cardiac arrest, brain cell edema can lead to bleeding brain, brain cells atrophy occurred intracranial. All of these can be