Kalus James S, Caron Michael F, White C Michael, Mather Jeffrey F, Gallagher Robert, Boden William E, Kluger Jeffrey
Department of Drug Information, Hartford Hospital, Connecticut 06102, USA.
Am J Cardiol. 2004 Dec 1;94(11):1423-5. doi: 10.1016/j.amjcard.2004.08.017.
Excessive fluid administration after cardiothoracic surgery has been proposed as a cause of postoperative atrial fibrillation. In this study, we observed that fluid balance and volume administered on postoperative day 2 was greater in patients who developed postoperative AF than in those who did not. We also found that net fluid balance on postoperative day 2 was an independent predictor of postoperative AF among patients not receiving prophylactic therapy.
心脏胸外科手术后过量补液被认为是术后房颤的一个原因。在本研究中,我们观察到发生术后房颤的患者术后第2天的液体平衡和补液量比未发生术后房颤的患者更多。我们还发现,在未接受预防性治疗的患者中,术后第2天的净液体平衡是术后房颤的独立预测因素。