腹盆腔手术的麻醉.pptxVIP

第一节 、 腹、盆腔手术麻醉的特点 ;1、腹、盆腔脏器的主要生理功能和围术期病理生理变化 The organs in abdominal and pelvic cavities include digestive system and genitourinary system. The main physiological functions are digestion, absorption,metabolism, elimination, immune function and secretion. The adequate preoperative preparation should be done to avoid anesthetic complications.;2、腹、盆腔手术围术期液体管理 Severe bleeding(massive hemorrhage), massive loss of body fluid,internal redistribution of fluids— often called “third space” can cause severe intravascular depletion. The fluids infusion rate is 10ml/kg/h and the crystalloid and colloid