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表 1 肿瘤切除前后及强心治疗后脉波指示连续心排血量检测指标变化
状态 SVRI
(dyn·s·cm-5·m2)CI
[L/(min·m2)]SVI
(ml/m2)GEF
(%)dPmax
(mm Hg/s)GEDVI
(ml/m2)肿瘤切除前 2009 3.3 38 33 1010 470 肿瘤切除后 2095 3.1 23 24 860 410 强心治疗后 2011 3.5 39 31 1240 510 SVRI:系统血管阻力指数;CI:心脏指数;SVI:每搏输出量指数;GEF:全心射血分数;dPmax:左心室收缩力指数;GEDVI:全心舒张末期容积指数 表 2 手术各阶段液体出入量(ml)
阶段 出血量 尿量 晶体液 胶体液 剖宫产期间 约400 200 500 0 肿瘤切除期间 约200 300 500 500 肿瘤切除后 约400 200 1000 1000 总计 1000 700 2000 1500 -
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