Janssens U, Kluge S
Klinik für Innere Medizin, St.-Antonius-Hospital, Dechant-Deckers-Straße 8, 52249, Eschweiler, Deutschland,
Med Klin Intensivmed Notfmed. 2015 Apr;110(2):110-7. doi: 10.1007/s00063-015-0001-7. Epub 2015 Mar 26.
Fluid therapy is a core concept in the management of perioperative and critically ill patients for maintenance of intravascular volume and organ perfusion. The clinical determination of the intravascular volume can be extremely difficult. Indication and control for intravascular volume therapy are among the most difficult aspects of intensive care.
A literature review was performed.
The goal of cardiovascular therapy is to enhance adequate blood flow and oxygen delivery to the tissues to meet the varying metabolic demands of the tissues without inducing untoward cardiorespiratory complications. A careful history and clinical examination are indispensable and allow evaluation of tissue and organ perfusion. Laboratory examinations, bedside ultrasonography as well as invasive hemodynamic monitoring complete the assessment and allow guidance of fluid therapy.
Case history, clinical examinations, bedside ultrasonography, and invasive hemodynamic monitoring complete the assessment and allow clinicians to assess volume responsiveness.
液体治疗是围手术期及危重症患者管理中的核心概念，用于维持血管内容量和器官灌注。血管内容量的临床判定可能极其困难。血管内容量治疗的指征及控制是重症监护中最具挑战性的方面之一。
进行了文献综述。
心血管治疗的目标是增强向组织的充足血流和氧输送，以满足组织不断变化的代谢需求，同时不引发不良的心肺并发症。详细的病史和临床检查必不可少，有助于评估组织和器官灌注。实验室检查、床旁超声检查以及有创血流动力学监测完善了评估，并为液体治疗提供指导。
病史、临床检查、床旁超声检查及有创血流动力学监测完善了评估，使临床医生能够评估容量反应性。
