液体管理在经皮肾镜取石术中的应用
Application of Fluid Management in Percutaneous Nephrolithotomy
DOI: 10.12677/ACM.2023.13102229, PDF,   
作者: 赵文军, 麦尔哈巴·艾尔肯, 张 毅*:新疆医科大学第四临床医学院麻醉科,新疆 乌鲁木齐
关键词: 经皮肾镜取石术围术期液体管理Percutaneous Nephrolithotomy Perioperative Fluid Management
摘要: 随着泌尿外科手术新技术新设备的发展,近些年里经皮肾镜取石术越发的成熟。与传统的开放式手术相比具有创伤小、并发症少、结石取净率高、恢复快等优点,现如今经皮肾镜取石术已经成为泌尿外科治疗上尿路结石的主要微创术式,然而由于手术过程中手术时间的长短、灌洗液的大量冲洗、体位的改变都可能对患者体内微循环以及术后康复产生或多或少的影响。本文结合文献对经皮肾镜取石术麻醉过程中液体管理进行简要综述。
Abstract: With the development of new technologies and new equipment for urological surgery, percutaneous nephrolithotomy has become more and more mature in recent years. Compared with traditional open surgery, it has the advantages of small trauma, fewer complications, high stone extraction rate, fast recovery, etc. Nowadays, percutaneous nephrolithotomy has been the main minimally invasive surgical method for urological treatment of upper urinary tract stones, but due to the length of the operation time during the operation, a lot of irrigation of the lavage fluid, and changes in position may have a more or less impact on the patient’s internal microcirculation and postoperative recov-ery. This article provides a brief review of fluid management during percutaneous nephrolithotomy anesthesia in conjunction with the literature.
文章引用:赵文军, 麦尔哈巴·艾尔肯, 张毅. 液体管理在经皮肾镜取石术中的应用[J]. 临床医学进展, 2023, 13(10): 15952-15958. https://doi.org/10.12677/ACM.2023.13102229

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