Array ( [id] => 2998 [catid] => 296 [title] => 中国成人患者围手术期液体治疗临床实践 指南（2025版） [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/2998.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:18 [updatetime] => 2026-04-14 11:42:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/34040 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中华医学会麻醉学分会老年人麻醉与围术期管理学组、国家老年麻醉联盟（NAGA） 、国家老年疾病临床医学 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 推荐烧伤患者使用目标导向液体治疗策略（证据等级：极低，推荐强度：强推荐） [znzldj] => B [_inputtime] => 1776138138 [_updatetime] => 1776138138 [_nrjc] => [_nrsh] => )

Array ( [id] => 2999 [catid] => 296 [title] => 中国成人患者围手术期液体治疗临床实践 指南（2025版） [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/2999.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:18 [updatetime] => 2026-04-14 11:42:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/34040 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中华医学会麻醉学分会老年人麻醉与围术期管理学组、国家老年麻醉联盟（NAGA） 、国家老年疾病临床医学 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 对大量失血患者进行容量复苏时，大剂量输注羟乙基淀粉溶液需要关注对患者肾功能的影响（证据等级：中，推荐强度：强推荐） [znzldj] => B [_inputtime] => 1776138138 [_updatetime] => 1776138138 [_nrjc] => [_nrsh] => )

Array ( [id] => 3000 [catid] => 296 [title] => 中国成人患者围手术期液体治疗临床实践 指南（2025版） [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3000.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:18 [updatetime] => 2026-04-14 11:42:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/34040 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中华医学会麻醉学分会老年人麻醉与围术期管理学组、国家老年麻醉联盟（NAGA） 、国家老年疾病临床医学 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 失血性休克患者行较长时间院前转运时，可考虑输注冰冻血浆（证据等级：中，推荐强度：强推荐） [znzldj] => B [_inputtime] => 1776138138 [_updatetime] => 1776138138 [_nrjc] => [_nrsh] => )

Array ( [id] => 3001 [catid] => 296 [title] => 中国成人患者围手术期液体治疗临床实践 指南（2025版） [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3001.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:18 [updatetime] => 2026-04-14 11:42:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/34040 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中华医学会麻醉学分会老年人麻醉与围术期管理学组、国家老年麻醉联盟（NAGA） 、国家老年疾病临床医学 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 当失血过多需大量输注成分血时，推荐使用血浆∶血小板∶红细胞比例为 1∶1∶1 进行输注（证据等级：高，推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1776138138 [_updatetime] => 1776138138 [_nrjc] => [_nrsh] => )

Array ( [id] => 3002 [catid] => 295 [title] => 中国成人患者围手术期液体治疗临床实践 指南（2025版） [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3002.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:18 [updatetime] => 2026-04-14 11:42:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/34040 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中华医学会麻醉学分会老年人麻醉与围术期管理学组、国家老年麻醉联盟（NAGA） 、国家老年疾病临床医学 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 在无脑损伤临床征象时，如大出血未停止，推荐使用限制性输液策略，且保持收缩压在 80~90 mmHg，平均动脉压 (MAP) 在 50~60 mmHg；对于严重脑损伤患者 [格拉斯哥昏迷评分 (GCS)≤8 分]，建议维持 MAP 高于 80 mmHg 或维持收缩压高于 110 mmHg（证据等级：中，推荐强度：强推荐） [znzldj] => B [_inputtime] => 1776138138 [_updatetime] => 1776138138 [_nrjc] => [_nrsh] => )

Array ( [id] => 3003 [catid] => 295 [title] => 中国成人患者围手术期液体治疗临床实践 指南（2025版） [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3003.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:18 [updatetime] => 2026-04-14 11:42:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/34040 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中华医学会麻醉学分会老年人麻醉与围术期管理学组、国家老年麻醉联盟（NAGA） 、国家老年疾病临床医学 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 建议对大量失血患者的出凝血功能进行早期动态监测，包括血常规、凝血功能 (如血浆凝血功能和弹性凝血实验等)，以指导容量复苏（证据等级：低，推荐强度：强推荐） [znzldj] => B [_inputtime] => 1776138138 [_updatetime] => 1776138138 [_nrjc] => [_nrsh] => )

Array ( [id] => 3004 [catid] => 295 [title] => 中国成人患者围手术期液体治疗临床实践 指南（2025版） [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3004.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:18 [updatetime] => 2026-04-14 11:42:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/34040 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中华医学会麻醉学分会老年人麻醉与围术期管理学组、国家老年麻醉联盟（NAGA） 、国家老年疾病临床医学 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 不建议经验性给予凝血因子复合物，应根据出凝血功能结果进行综合决策（证据等级：高，推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1776138138 [_updatetime] => 1776138138 [_nrjc] => [_nrsh] => )

Array ( [id] => 3005 [catid] => 294 [title] => 中国成人患者围手术期液体治疗临床实践 指南（2025版） [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3005.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:18 [updatetime] => 2026-04-14 11:42:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/34040 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中华医学会麻醉学分会老年人麻醉与围术期管理学组、国家老年麻醉联盟（NAGA） 、国家老年疾病临床医学 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 在创伤性大失血患者中，推荐尽早使用氨甲环酸（证据等级：高，推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1776138138 [_updatetime] => 1776138138 [_nrjc] => [_nrsh] => )

Array ( [id] => 3006 [catid] => 294 [title] => 中国成人患者围手术期液体治疗临床实践 指南（2025版） [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3006.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:18 [updatetime] => 2026-04-14 11:42:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/34040 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中华医学会麻醉学分会老年人麻醉与围术期管理学组、国家老年麻醉联盟（NAGA） 、国家老年疾病临床医学 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 需谨慎使用血管活性药物。对于危及生命的失血性休克 (平均动脉压 <50 mmHg 或收缩压 <70 mmHg)，应考虑使用缩血管药物，首选药物为去甲肾上腺素。必要时可应用其他缩血管药物，如血管加压素（证据等级：中，推荐强度：强推荐） [znzldj] => B [_inputtime] => 1776138138 [_updatetime] => 1776138138 [_nrjc] => [_nrsh] => )

Array ( [id] => 3007 [catid] => 302 [title] => 中国成人患者围手术期液体治疗临床实践 指南（2025版） [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3007.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:18 [updatetime] => 2026-04-14 11:42:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/34040 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中华医学会麻醉学分会老年人麻醉与围术期管理学组、国家老年麻醉联盟（NAGA） 、国家老年疾病临床医学 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 术中输液量的增加可能与术后肺部并发症增加有关（证据等级：低，推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1776138138 [_updatetime] => 1776138138 [_nrjc] => [_nrsh] => )