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P(v-a)CO2在肝部分切除液体复苏治疗中的研究进展
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Abstract:
肝部分切除术围术期出血输血风险高，肝切除后液体复苏问题是麻醉医生的重要临床问题。静动脉二氧化碳分压差[P(v-a)CO2]是评估微循环的流量指标，与指导液体复苏、评估组织氧供需、评估病情危重性和预后等密切相关。该文就P(v-a)CO2在指导评估肝部分切除液体复苏治疗中应用的研究进展作一综述。
Partial hepatectomy has a high risk of perioperative bleeding and blood transfusion. Fluid resusci-tation after hepatectomy is an important clinical problem for anesthesiologists. Arterial CO2 partial pressure difference [P(v-a)CO2] is a flow index for evaluating microcirculation, which is closely re-lated to guiding fluid resuscitation, assessing tissue oxygen supply and demand, assessing disease severity and prognosis. In this paper, [P(v-a)CO2] reviews the research progress of fluid resuscita-tion in guiding and evaluating partial hepatectomy.
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