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Research of goal-directed fluid therapy on laparoscopic liver resection

实用休克杂志（中英文） 2024年第2期8卷 124-128页

作者： Wang Le Luo Xuee Liu Xiehong Song Yinghui Zeng Qinghua Zhang Honghui Tang Hongying Hunan Provincial People's Hospital(the First Affiliated Hospital of Hunan Normal University)

Objective To explore the application effect of goal-directed fluid therapy(GDFT)on laparoscopic liver *** From July 2023 to December 2023,48 patients who underwent laparoscopic liver resection were randomly divided into the GDFT group and the CLCVP(controlled low central venous pressure)*** patients in the GDFT group were guided by stroke volume variability(SVV)during surgery,while those in the CLCVP group were guided by a controlled low central venous pressure technique during fluid replacement *** bleeding volume,fluid replacement volume,urine output,liver blood flow obstruction time,postoperative exhaust time,length of hospital stays,and incidence of complications were recorded and compared between the two groups of *** There was a difference between the two groups in terms of crystal fluid,colloid fluid,total fluid volume,and urine volume(P>0.05).However,the bleeding volume in the GDFT group(515.61±246.71)mL was lower than that in the CLCVP group(389.37±187.35)mL(Plow in the GDFT group(46.33±7.26)min was shorter than that of the CLCVP group(41.84±6.24)min(P0.05).Conclusion GDFT guided by SVV can stabilize intraoperative hemodynamics in patients undergoing laparoscopic liver resection,reduce intraoperative bleeding,and reduce liver blood flow blockage *** is safer and more reliable than traditional fluid therapy.

关键词： Goal-directed fluid therapy Laparoscopic liver resection Stroke volume variability controlled low central venous pressure

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