关键词: 液体复苏, 休克, 血流动力学, 微循环, 氧代谢

Abstract:

The endpoint of fluid therapy for surgical shock patients          GUAN Xiang-dong，LIU Yong-jun. Department of SICU，the First Affiliated Hospital of Sun Yat-Sen University，Guangzhou 510080，China
Corresponding author：GUAN Xiang-dong，E-mail：carlg@163.net
Abstract    How to resuscitate sufficiently while avoiding overload for surgical shock patients is a clinical issue that perplexes the surgeon. According to the existing evidence，there is no index which could reflect the practical capacity state of patients comprehensively and accurately，and could not support one or a set of indicators as shock specific recovery destination. Continuously and dynamicly assessmenting response to treatment，basing on the comprehensive clinical manifestations，using the method of multiple different indicator ，could make it close to the practical state of the patient.

Key words: fluid resuscitation, shock, hemodynamics, microcirculation, oxygen metabolism