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| 控制性低中心静脉压在肝脏切除术中的应用 |
| Application of controlled low central venous pressure in hepatectomy |
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| DOI：10.12089/jca.2021.08.019 |
| 中文关键词: 肝脏切除术 控制性低中心静脉压 每搏量变异度 空气栓塞 |
| 英文关键词: Hepatectomy Controlled low central venous pressure Stroke volume variation Air embolism |
| 基金项目:南京市青年卫生人才项目（QRX17013）;南京市卫健委课题（YKK17084） |
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| 中文摘要: |
| 肝脏切除术中出血往往会增加患者围术期的输血需求、并发症发生率和死亡率。控制性低中心静脉压（CLCVP）可显著减少肝脏切除术的出血量，不影响患者术后重要脏器的功能，被广泛应用于临床。然而，有研究表明，CLCVP用于肝脏切除术尚存在不足，未能有效地降低术中出血量、减少术后并发症、改善患者远期生存率，且其控制程度无统一标准。本文旨在客观评估CLCVP在肝脏切除术中的优势和不足，以便临床医师更为合理地应用该项技术。 |
| 英文摘要: |
| Intraoperative hemorrhage during hepatic surgery invariably increases the perioperative transfusion requirements and the incidence of complications and mortality. Blood loss could be significantly decreased in hepatectomized patients by applying controlled low central venous pressure (CLCVP) with no remarkably negative impact on the vital organs' function. There remains disadvantages of CLCVP applied to hepatectomy, which could not lead to a decrease in intraoperative blood loss and postoperative complications, an improvement of long-term outcomes and uniform standard of the degree. This review aims to objectively evaluate the strengths and weaknesses of CLCVP during the hepatectomy so that the clinicians can reasonably integrate this concept into practice. |
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