关键词: 液体治疗, 液体过负荷, 围手术期

Abstract:

Strategy and recognition in volume overload        YAN Jing，GONG Shi-jin. Department of ICU, Zhejiang Hospital，Hangzhou 310013，China
Corresponding author：YAN Jing，E-mail：zjicu@vip.163.com
Abstract    Volume overload is occurred in surgical patients when performed the fluid therapy commonly. It is related to patient’s many organs’ function such as heart, lung and kidney and prognosis. The benefits may be attributable to recognize and deal with volume overload. And if patients could be refrain from the volume overload，they would obtain more benefits. For patients in high risk of volume overload，enhancement of monitoring is necessary. Critical care doctors need to apply some hemodynamic monitoring tools，such as ultrasonography，pulmonary artery catheter，and PiCCO system，to assess volume state accurately，meanwhile take the patients’ physiopathology into account，then carry out the individualized goal-directed fluid treatment.

Key words: liquid therapy, volume overload, perioperative period