关键词: 肠梗阻, 液体治疗, 心脏前负荷, 组织灌注, 氧代谢

Abstract: Fluid therapy for acute bowel obstruction: The value and its evaluation        CHEN Ming,YU Wen-kui. Department of Critical Care Medicine, the Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School, Nanjing 210008, China
Corresponding author：YU Wen-kui,E-mail：yudrnj@163.com
Abstract    Bowel obstruction is one of the common acute abdominal diseases in surgery. The primary task of its treatment is to replace the effective circulating blood volume lost caused by loss of digestive juice and increased exudation of inflammation through fluid therapy，and stabilize the hemodynamic state of patients. Therefore，optimizing the timing，amount and composition of fluid therapy according to the pathophysiological characteristics of fluid loss in patients with bowel obstruction，and evaluating the effect of fluid therapy scientifically and reasonably by the cardiac preload，tissue perfusion and oxygen metabolism are the keys to improve fluid therapy for bowel obstruction.

Key words: bowel obstruction, fluid therapy, cardiac preload, tissue perfusion, oxygen metabolism