[1]吳 江,葛明建.圍術期液體治療對肺切除術后急性肺損傷及腎損傷的影響[J].醫學信息,2019,(20):9-13.[doi:10.3969/j.issn.1006-1959.2019.20.003]
 WU Jiang,GE Ming-jian.Effect of Perioperative Fluid Therapy on Acute Lung Injury and Renal Injury after Pneumonectomy[J].Medical Information,2019,(20):9-13.[doi:10.3969/j.issn.1006-1959.2019.20.003]
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圍術期液體治療對肺切除術后急性肺損傷及腎損傷的影響()
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醫學信息[ISSN:1006-1959/CN:61-1278/R]

卷:
期數:
2019年20期
頁碼:
9-13
欄目:
肺癌與肺損傷專題
出版日期:
2019-10-15

文章信息/Info

Title:
Effect of Perioperative Fluid Therapy on Acute Lung Injury and Renal Injury after Pneumonectomy
文章編號:
1006-1959(2019)20-0009-05
作者:
吳 江葛明建
(重慶醫科大學附屬第一醫院胸外科,重慶 400016)
Author(s):
WU JiangGE Ming-jian
(Department of Thoracic Surgery,the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016,China)
關鍵詞:
液體治療肺切除術圍手術期急性肺損傷
Keywords:
Fluid therapyPneumonectomyPerioperative periodAcute lung injury
分類號:
R657.3
DOI:
10.3969/j.issn.1006-1959.2019.20.003
文獻標志碼:
A
摘要:
肺切除術后并發癥以肺部并發癥最為常見,包括肺炎、急性肺損傷(ALI)、急性呼吸窘迫綜合癥(ARDS)等,是導致患者死亡的主要原因。液體治療是圍手術期治療的重要組成部分,其目的在于維持電解質平衡,糾正液體失衡和異常分布等。近年來有研究證實,輸液速度與輸液量與肺切除術后ALI有關,且限制性液體治療可能導致急性腎損傷(AKI)。目前,目的導向液體治療為圍術期液體治療的新理念,對于降低肺切除術后肺部并發癥具有重要意義。本文從肺切除術后ALI與圍術期液體治療的相關性、ALI發病機制與圍術期液體治療的關系、AKI與圍手術期液體治療的關系及肺切除術后目的導向液體治療方面作一綜述,以期為臨床治療提供參考依據。
Abstract:
Complications after pneumonectomy are most common with pulmonary complications, including pneumonia, acute lung injury (ALI), and acute respiratory distress syndrome (ARDS), which are the leading causes of death. Fluid therapy is an important component of perioperative treatment, with the goal of maintaining electrolyte balance and correcting fluid imbalances and abnormal distribution. In recent years, studies have confirmed that infusion rate and infusion volume are related to ALI after pneumonectomy, and restrictive fluid therapy may lead to acute kidney injury (AKI). At present, the goal-oriented liquid therapy is a new concept of perioperative fluid therapy, which is of great significance for reducing pulmonary complications after pneumonectomy. This article compares the relationship between ALI and perioperative fluid therapy, the relationship between ALI pathogenesis and perioperative fluid therapy, the relationship between AKI and perioperative fluid therapy, and the goal-directed fluid therapy after pneumonectomy. Review, in order to provide a reference for clinical treatment.

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更新日期/Last Update: 2019-10-15
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