Abstract:

Significance and rational choice of preoperative fluid infusion  ZHANG Xue-wen，YANG Yong-sheng，SHENG Ji-yao. Department of Hepatobiliary and Pancreas Surgery，China-Japan Union Hospital of Jilin University，Changchun 130033，China
Corresponding author：ZHANG Xue-wen，E-mail：zxw515@sohu.com
Abstract    Fluid therapy before surgery is an important part of preoperative fluid infusion. With the rapid rise and the application of the concept of fast-track surgery，preoperative fluid infusion has been much accounted of by more and more surgeons gradually. The purpose of preoperative fluid infusion is not only to correct fluid deficit and electrolyte disturbances，but also to reduce the degree of insulin resistance and the incidence of complications after surgery，improving prognosis and promoting the rapid recovery of patients.

Key words: fluid resuscitation, preoperative fluid infusion, insulin resistance

摘要：

外科手术前的补液治疗是围手术期治疗的重要组成部分，随着近年来快速康复外科理念的兴起及应用，术前补液正在被越来越多的外科医师逐渐重视起来。术前补液的目的不仅在于可纠正病人术前的体液缺失及离子紊乱，更可减轻术后病人胰岛素抵抗程度，并减少术后相关并发症的发生，改善病人预后，促进病人快速康复。

关键词: 液体复苏, 术前补液, 胰岛素抵抗