Effect of goal-directed fluid therapy on the volume and coagulation function in patients with placenta pre-via during perioperative period / 实用医学杂志
The Journal of Practical Medicine
; (24): 446-449, 2018.
Article
en Zh
| WPRIM
| ID: wpr-697636
Biblioteca responsable:
WPRO
ABSTRACT
Objective To investigate the therapeutic effect of goal-directed fluid therapy on perioperative volume therapy in patients with placenta previa during perioperative period. Methods Eighty patients undergoing cesarean section were randomly divided into 2 groups(n=40 in each group):the conventional therapy group(N group)and the target management of resuscitation group(G group). Patients in G group were connected the Flo-Trac/Vigileo monitoring system to obtain the information of△SV and CI which were used to guide goal-directed flu-id therapy. Hemodynamics,blood coagulation indexes and lactic acid content in different periods of operation were recorded. Results Compared with N group,colloid infusion volume,HR,△SV,the amount of phenylephrine, PT,APTT and TT were decreased,but urine volume,CVP,CI and MBP of each time point and FIB were mark-edly increased(P < 0.05,respectively). Conclusion The application of FloTrac/Vigileo monitoring system for goal-directed fluid therapy,real-time monitor and effectively maintain hemodynamics in patients with dangerous placenta previa during perioperative period,which can improve the postoperative coagulation function and is better than the conventional rehydration capacity.
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Índice:
WPRIM
Idioma:
Zh
Revista:
The Journal of Practical Medicine
Año:
2018
Tipo del documento:
Article