期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

限制性输液在感染中毒性休克麻醉中应用的疗效评价 被引量：6

在线阅读 下载PDF
导出
摘要 目的探讨限制性输液在感染中毒性休克麻醉中应用的救治效果。方法顾性分析2006年1月至2011年5月收治的36例感染中毒性休克手术患者,分为常规充分液体复苏组(常规组),和限制性液体复苏组(限制组),比较2组氧合情况,出血量以及术后转归情况。结果限制性液体复苏组术后氧合明显优于充分液体复苏组(P<0.05),出血量明显少于充分液体复苏组(P<0.05),限制性输液组患者术后转归情况优于充分液体复苏组(P<0.05)。结论限制性液体复苏可改善组织氧供,减少出血量,改善预后。
作者 杨艳超 韦洪艳 蒋晨霞 孟香果 高国华
机构地区 河北省石家庄市第一医院麻醉科 河北省石家庄市第一医院手术室
出处 《河北医药》 CAS 2012年第11期1649-1650,共2页 Hebei Medical Journal
关键词 限制性输液 感染中毒性休克 并发症
分类号 R541.64 [医药卫生—心血管疾病]
  • 相关文献

参考文献8

  • 1Wiedemann HP,Wheeler AP,Bemard GR et al.Comparison of two fluid-management strategies in acute lung injury.N Engl J Med,2006,354:2564-2575.
  • 2Sakr Y,Vincent JL,Reinhart K et al.High tidal volume and positive fluid balance are associatedwith worse outcome in acute lung injury.Chest,2005,128:3098-3108.
  • 3龚时鹏,余艳红,陈莉.限制性液体复苏孕兔失血性休克对凝血因子的影响[J].中国现代医学杂志,2010,20(4):523-525. 被引量：6
  • 4Holte K,Sharrock NE,Kehlet H.Pathophysiology and clinical implications of perioperative fluid excess.Br J Anaesth,2002,89:622-632.
  • 5Moller AM,Pedersen T,Svendsen PE,et al.Perioperative risk factors in elective pneumonectomy:the impact of excess fluid balance.Eur J Anaesthesiol 2002,19:57-62.
  • 6Alsous F,Khamiees M,DeGirolamo A,et al.Negative fluid balance predicts survival in patients with septic shock:a retrospective pilot study.Chest,2000,117:1749-1754.
  • 7王晨虹,龚时鹏,余艳红,涂新枝,张铨富,林胜谋,胡冬煦.限制性液体复苏孕兔失血性休克对肝脏肾脏功能的影响[J].中华围产医学杂志,2007,10(4):256-259. 被引量：6
  • 8Durairaj L,Schmidt GA.Fluid therapy in resuscitated sepsis:less is more.Chest,2008,133:252-263.

二级参考文献15

  • 1王钦存,肖南,刁有芳,田昆仑,范小青,陈惠孙.出血未控制性休克限制性液体复苏机制的探讨[J].中国危重病急救医学,2004,16(8):473-476. 被引量：38
  • 2Solomonov E, Hirsh M, Yahiya A, et al. The effect of vigorous fluid resuscitation in uncontrolled hemorrhagic shock after massive splenic injury. Crit Care Med, 2000,28:749-754.
  • 3金惠铭，王建枝．病理生理学．北京：人民卫生出版，2003，264-265．
  • 4Ayala A, Perrin MM, Ertel W, et al. Differential effects of hemorrhage on Kupffer cells: decreased antigen presentation despite increased inflammatory cytokine (IL-1, IL-6 and TNF) release. Cytokine, 1992, 4:66-75.
  • 5Baruch Y, Neubauer K, Ritzel A, et al. Von Willebrand gene expression in damaged human liver. Hepatogastroenterology, 2004, 51:684-688.
  • 6Roumen RM, Hendriks T, van der Ven-Jongekrijg J, et al. Cytokine patterns in patients after major vascular surgery, hemorrhagic shock, and severe blunt trauma. Relation with subsequent adult respiratory distress syndrome and multiple organ failure. Ann Surg, 1993, 218:769-776.
  • 7Mapstone J, Roberts I, Evans P. Fluid resuscitation strategies:a systematic review of animal trials. J Trauma, 2003, 55: 571- 589.
  • 8Capone AC, Safar P, Stezolski W, et al. Improved outcome with fluid restriction in treatment of uncontrolled hemorrhagic shock. J Am Coll Surg, 1995, 180: 49-56.
  • 9Burris D, Rhee P, Kauffman C, et al. Controlled resuscitation for uncontrolled hemorrhagic shock. J Trauma, 1999, 46:216- 223.
  • 10Stern SA, Dronen SC, Wang X, et al. Multiple resuscitation regimens in a near-fatal porcine aortic iniury hemorrhage mode. Acad Emerg Med, 1995,2:89 97.

共引文献10

同被引文献68

  • 1姜福富.多巴胺及去甲肾上腺素对感染性休克患者血流动力学和组织氧代谢的影响[J].求医问药（下半月）,2013(6):103-104. 被引量：8
  • 2田志恒,王瑞勤.高渗液和平衡盐液用于感染中毒性休克扩容40例体会[J].医学理论与实践,2005,18(9):1055-1056. 被引量：2
  • 3成人严重感染与感染性休克血流动力学监测与支持指南[J].中华医学信息导报,2007,22(16):21-22. 被引量：9
  • 4孙振峰.急性感染中毒性休克抢救护理.中外健康文摘杂志,2011,8(2):249-250.
  • 5Moller AM, Pedersen T, Svendsen PE, et al. Perioperative risk factors in elective pneumonectomy: the impact of excess fluid balance. European Journal of Anaesthesiology, 2002, 19(1):57-62.
  • 6Alsous F, Khamiees M, DeGirolamo A, et al. Negative fluid balance predicts survival in patients with septic shock: a retrospective pilot :tudy. Chest, 2000, 117(6):1749-1754.
  • 7Holte K, Sharrock NE, Kehlet H.Pathophysiology and clinical implications of perioperative fluid excess. British Journal of Anaesthesia, 2003, 90(3):395-396.
  • 8Robinson K, Kruger P, Prins J, et al. The metabolic syndrome in critical ill patients. Best Pract Res Clin Endocrinol Metab,2011,25:835-$45.
  • 9Suarez-Santamaria M, Santolaria F, Perez-Ramirez A. Prognostic value of inflammatory markers ( notably cytokines and procalcitonin ), nutritional assessment, and organ function in patients with sepsis. Eur Cytokine Netw,2010,21 : 19-24.
  • 10Tschaikowsky K, Hedwig-Geissing M, Braun GG, et al. Predietive value of procalcitonin, interleukiu-6, and C-reactive protein for survival in postop- erative patients with severe sepsis. J Crit Care,2011,1:195-200.

引证文献6

二级引证文献42

河北医药
2012年 第11期

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部