每博量变异度在肝脏切除术中的应用
Application of Stroke Volume Variation in Hepatectomy
摘要: 肝脏具有丰富而独特的血供，术中易大量出血，影响循环及内环境稳定。每博量变异度(Stroke volume variation, SVV)是预测液体反应性，围术期目标导向液体治疗的重要动态监测指标。因其连续动态、数据快速、操作简单等明显特点，近年来被临床广泛使用。本文从肝脏手术特点、传统容量监测指标、SVV的基本原理、临床应用及其影响因素等方面进行综述，为临床上肝脏手术围术期麻醉补液做出参考。
Abstract: The liver has a rich and unique blood supply, which is prone to heavy bleeding during the operation, which affects the circulation and the stability of the internal environment. Stroke volume variation (SVV) is an important dynamic monitoring index for predicting fluid responsiveness and periopera-tive goal-directed fluid therapy. Because of its obvious characteristics such as continuous dynamic, fast data and simple operation, it has been widely used in clinical practice in recent years. This arti-cle reviews the characteristics of liver surgery, traditional volume monitoring indicators, the basic principle of SVV, clinical application and its influencing factors, and provides a reference for periop-erative anesthesia and fluid replacement in clinical liver surgery.
文章引用：孔繁青, 阿良德. 每博量变异度在肝脏切除术中的应用[J]. 临床医学进展, 2022, 12(12): 10960-10964. https://doi.org/10.12677/ACM.2022.12121578

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