小儿外科液体的疗法.ppt

小儿外科液体疗法Fluid Therapy of Pediatric Surgery 市三医院普外科 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 小儿外科液体疗法的重要性 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 体液平衡的基本概念 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 体液的基本要求 稳定的容量 稳定的浓度 稳定的分布 稳定的pH Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 体液平衡的基本要求 水的平衡 (Water balance) 电解质平衡(Electrolyte balance) 渗透压平衡(Osmolality balance) 酸碱平衡(Acid-Base balance) Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 液体疗法的分类 体液平衡 －水、电解质、酸碱、张力平衡 体液失衡 －水、电解质、酸碱、张力失衡 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 小儿外科液体疗法的特点 不同于成人外科输液 不同于小儿内科输液 围手术期输液- 术前输液、术中输液、术后输液 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 小儿外科液体疗法 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 小儿外科液体疗法总原则 日需量－生理消耗量 额外损失量－继续损失量 3. 失衡量－累积损失量 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 小儿外科液体疗法总思路 丢什么？ 补什么？ 补多少？ 怎么补？ Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 一、日需量 (Daily requirements) 定义：水、电解质、热量 每天正常生理需要量 补充：日需水量 日需电解质量 日需热量 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. （一）小儿日需水量(Water Daily Requirements) Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 体液正常损失的四个途径 器官 途径 ml/m2 ml/100kcal 肺 呼吸 140