二如何评估第三间隙需要补充第三间隙的液体丢失量吗(第3页)
D.10ml(kg·h)
2.体液丧失于第三间隙,最易引起哪种电解质紊乱()
A.等渗性缺水
B.低渗性缺水
C.高渗性缺水
D.水中毒
3.第三间隙补液量在哪些手术被视为0()
A.胃肠手术
B.烧伤手术
C.颅脑手术
D.肺手术
4.第三间隙液包括以下哪些()
A.脑脊液
B.前房水
C.关节液
D.胸腔液
【思考题答案】
1.C
2.A
3.CD
4.ABCD
参考文献
1.邓小明,姚尚龙,于布为。
现代麻醉学(第4版)。
北京:人民卫生出版社,2014
2.ShiresT,WilliamsJ,BrownF,etal.Acutechangeinextracellularfluidsassociatedwithmajorsurgicalprocedures.AnnSurg,1961,154:803-810
3.RobartsWM.Natureofthedisturbanceinthebodyfluidpartmentsduringandaftersurgicaloperations.BrJSurg,1979,66(10):691-695
4.LowellJA,SchifferdeckerC,DriscollDF,etal.Postoperativefluidoverload:notabenignprobleCritCareMed,1990,18(7):728-733
5.SmithSH,PernerA.Highervs.lowerfluidvolumeforsepticshock:clinicalcharacteristicsandouteinunselectedpatientsinaprospective,multicentercohort.CritCare,2012,16(3):R76.
6.BrandstrupB,TonnesenH,Beier-HolgersenR,etal.Effectsofintravenousfluidrestrictiononpostoperativeplications:parisonoftwoperioperativefluidregimens:arandomizedassessor-blindedmulticentertrial.AnnSurg,2003,238(5):641-648
7.VandeHeiMS,PapageorgeCM,MurphyMM,etal.Theeffectofperioperativefluidmanagementonpostoperativeileusinrectalcancerpatients.Surgery,2017,161(6):1628-1632
8.刘秀珍,柯山,高君,等。
大创伤手术围术期液体管理的基本要素和原则。
中国临床医生,2012,40(3):3-7
9.JacobM,ChappellD,RehmM.The‘thirdspace’-factorfiction?BestPractResClinAnaesthesiol.2009,23(2):145-157
10.ChappellD,JacobM,HofmannK,etal.Arationalapproachtoperioperativefluidmanagement.Anesthesiology,2008,109(4):723-740
11.BrandstrupB,SvensenC,EngquistA.Hemorrhageandoperationcauseacontractionoftheextracellularspaceneedingreplacement-evidenceandimplications?Asystematicreview.Surgery,2006,139(3):419-432
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