术中液体治疗：回归还是进步？
Intraoperative fluid therapy: regression or progression?

术中液体治疗是维持患者在麻醉手术期间生命体征的重要环节，其最终目的是提高患者的心输出量，维持组织循环灌注。而术中液体补充量的研究结论经历了开放性、限制性、目标导向和零平衡等几次更新，呈现出否定再否定的态势。随着循证医学的发展，用证据说话的理念逐渐占据主导地位。我们期待更多有理有据、简便易行的术中液体治疗方案的出现。
Intraoperative fluid therapy is a significant link of maintaining the patient’s vital signs during the anesthesiaand operation. Its final goal is to increase the patient’s cardiac output and maintain the tissue circulating perfusion.However, the research conclusions pertaining to the intraoperative fluid supplement have evolved several times, fromliberal vs restrictive fluid therapy to goal-directed vs zero-balanced regimen. And the renewal tendency shows a posture ofnegation and negation again. Along with the development of the evidence-based medicine, the idea that let the evidencespeak for itself has dominated now. So we are expecting more reasonable and convenient regimen for the intraoperativefluid management