摘要补液是临床工作中最常用的治疗措施,随着医学技术的发展,补液前的容量反应性评估也变得越来越简单及无创.容量反应性评估主要基于三个方面:心肺交互作用、容量负荷试验、内源性容量负荷试验.下面将主要分析超声及各种无创连续心排血量监测等技术在容量反应性评估方面的应用,并探讨可能的改进措施.
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abstractsFluid infusion is one of the most common therapeutic measures in clinical practice.With the development of medical technology,the assessment of fluid responsiveness before fluid infusion has become simpler and less invasive.The assessment of fluid responsiveness is based on three aspects:cardiopulmonary interaction,volume-loading test and endogenous volume-loading test.This article reviews the progress in the assessment of fluid responsiveness with the application of ultrasound and noninvasive continuous cardiac output monitoring,and the prospect of future improvement.
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