危重患者的液体管理.pptVIP

肠道手术病人总数172例,加入随机、双盲对比研究 围术期液体治疗分成限制输液与常规输液组 限制输液组各种并发症发生率降低 心、肺并发症 7% vs 24% 组织愈合并发症 16% vs 31% 死亡率 0 vs 4、7% 结论:择期结直肠手术围术期限制输液有利 Brandstrup B, Pott F, et al: Effects of Intravenous Fluid Restriction on Postoperative plications: parison of Two Perioperative Fluid Regimens、 Annals of Surgery 2003,238:641 主张限制输液者的观点 Early Goal-Directed Therapy in the Treatment of Severe Sepsis and Septic Shock We randomly assigned patients who arrived at an urban emergency department with severe sepsis or septic shock to receive either six hours of early goal-directed therapy o