Array
(
[id] => 3018
[catid] => 242
[title] => 中国儿童围手术期液体管理指南(2025版)
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => /show/3018.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://rs.yiigle.com/cmaid/1667662
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2026
[guojia] => 中华医学会麻醉学分会小儿麻醉学组、中华医学会麻醉学分会青年学组《中国儿童围手术期液体管理指南(202
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 推荐对肝肾功能发育不全或肝功能受损儿童使用碳酸氢钠林格注射液(证据等级:中,推荐强度:弱推荐)
[znzldj] => B
[_inputtime] => 1776138138
[_updatetime] => 1776138138
[_nrjc] =>
[_nrsh] =>
)
推荐意见
推荐对肝肾功能发育不全或肝功能受损儿童使用碳酸氢钠林格注射液(证据等级:中,推荐强度:弱推荐)
证据评价方法:GRADE
指南质量等级:B
年份:2026
国家:中华医学会麻醉学分会小儿麻醉学组、中华医学会麻醉学分会青年学组《中国儿童围手术期液体管理指南(202
Array
(
[id] => 3019
[catid] => 242
[title] => 中国儿童围手术期液体管理指南(2025版)
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => /show/3019.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://rs.yiigle.com/cmaid/1667662
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2026
[guojia] => 中华医学会麻醉学分会小儿麻醉学组、中华医学会麻醉学分会青年学组《中国儿童围手术期液体管理指南(202
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 推荐对呕吐及低氯血症儿童使用0.9%氯化钠注射液和复方氯化钠注射液(证据等级:中,推荐强度:弱推荐)
[znzldj] => B
[_inputtime] => 1776138138
[_updatetime] => 1776138138
[_nrjc] =>
[_nrsh] =>
)
推荐意见
推荐对呕吐及低氯血症儿童使用0.9%氯化钠注射液和复方氯化钠注射液(证据等级:中,推荐强度:弱推荐)
证据评价方法:GRADE
指南质量等级:B
年份:2026
国家:中华医学会麻醉学分会小儿麻醉学组、中华医学会麻醉学分会青年学组《中国儿童围手术期液体管理指南(202
Array
(
[id] => 3020
[catid] => 242
[title] => 中国儿童围手术期液体管理指南(2025版)
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => /show/3020.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://rs.yiigle.com/cmaid/1667662
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2026
[guojia] => 中华医学会麻醉学分会小儿麻醉学组、中华医学会麻醉学分会青年学组《中国儿童围手术期液体管理指南(202
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 不推荐0.9%氯化钠注射液和复方氯化钠注射液用于儿童维持性输液或液体复苏(证据等级:中,推荐强度:强推荐)
[znzldj] => B
[_inputtime] => 1776138138
[_updatetime] => 1776138138
[_nrjc] =>
[_nrsh] =>
)
推荐意见
不推荐0.9%氯化钠注射液和复方氯化钠注射液用于儿童维持性输液或液体复苏(证据等级:中,推荐强度:强推荐)
证据评价方法:GRADE
指南质量等级:B
年份:2026
国家:中华医学会麻醉学分会小儿麻醉学组、中华医学会麻醉学分会青年学组《中国儿童围手术期液体管理指南(202
Array
(
[id] => 3021
[catid] => 242
[title] => 中国儿童围手术期液体管理指南(2025版)
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => /show/3021.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://rs.yiigle.com/cmaid/1667662
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2026
[guojia] => 中华医学会麻醉学分会小儿麻醉学组、中华医学会麻醉学分会青年学组《中国儿童围手术期液体管理指南(202
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 不推荐复方电解质注射液(Ⅱ)和钠钾镁钙葡萄糖注射液用于长时间手术及需要大量液体治疗的儿童(证据等级:中,推荐强度:弱推荐)
[znzldj] => B
[_inputtime] => 1776138138
[_updatetime] => 1776138138
[_nrjc] =>
[_nrsh] =>
)
推荐意见
不推荐复方电解质注射液(Ⅱ)和钠钾镁钙葡萄糖注射液用于长时间手术及需要大量液体治疗的儿童(证据等级:中,推荐强度:弱推荐)
证据评价方法:GRADE
指南质量等级:B
年份:2026
国家:中华医学会麻醉学分会小儿麻醉学组、中华医学会麻醉学分会青年学组《中国儿童围手术期液体管理指南(202
Array
(
[id] => 3022
[catid] => 242
[title] => 中国儿童围手术期液体管理指南(2025版)
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => /show/3022.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://rs.yiigle.com/cmaid/1667662
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2026
[guojia] => 中华医学会麻醉学分会小儿麻醉学组、中华医学会麻醉学分会青年学组《中国儿童围手术期液体管理指南(202
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 当低血容量休克应用晶体液复苏无效或血制品无法即刻获取时,可以使用5%白蛋白、羟乙基淀粉130/0.4或4%明胶,但需注意不良反应(证据等级:低,推荐强度:弱推荐)
[znzldj] => B
[_inputtime] => 1776138138
[_updatetime] => 1776138138
[_nrjc] =>
[_nrsh] =>
)
推荐意见
当低血容量休克应用晶体液复苏无效或血制品无法即刻获取时,可以使用5%白蛋白、羟乙基淀粉130/0.4或4%明胶,但需注意不良反应(证据等级:低,推荐强度:弱推荐)
证据评价方法:GRADE
指南质量等级:B
年份:2026
国家:中华医学会麻醉学分会小儿麻醉学组、中华医学会麻醉学分会青年学组《中国儿童围手术期液体管理指南(202
Array
(
[id] => 3023
[catid] => 242
[title] => 中国儿童围手术期液体管理指南(2025版)
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => /show/3023.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://rs.yiigle.com/cmaid/1667662
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2026
[guojia] => 中华医学会麻醉学分会小儿麻醉学组、中华医学会麻醉学分会青年学组《中国儿童围手术期液体管理指南(202
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 推荐脓毒症儿童在晶体液复苏无效或存在低蛋白血症时应用4%~ 5%白蛋白(证据等级:中,推荐强度:弱推荐)
[znzldj] => B
[_inputtime] => 1776138138
[_updatetime] => 1776138138
[_nrjc] =>
[_nrsh] =>
)
推荐意见
推荐脓毒症儿童在晶体液复苏无效或存在低蛋白血症时应用4%~ 5%白蛋白(证据等级:中,推荐强度:弱推荐)
证据评价方法:GRADE
指南质量等级:B
年份:2026
国家:中华医学会麻醉学分会小儿麻醉学组、中华医学会麻醉学分会青年学组《中国儿童围手术期液体管理指南(202
Array
(
[id] => 3024
[catid] => 242
[title] => 中国儿童围手术期液体管理指南(2025版)
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => /show/3024.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://rs.yiigle.com/cmaid/1667662
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2026
[guojia] => 中华医学会麻醉学分会小儿麻醉学组、中华医学会麻醉学分会青年学组《中国儿童围手术期液体管理指南(202
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 不推荐对胎龄<32周或体质量<1500g的早产儿、足月新生儿、心血管外科手术儿童输注白蛋白实施扩容(证据等级:低,推荐强度:弱推荐)
[znzldj] => B
[_inputtime] => 1776138138
[_updatetime] => 1776138138
[_nrjc] =>
[_nrsh] =>
)
推荐意见
不推荐对胎龄<32周或体质量<1500g的早产儿、足月新生儿、心血管外科手术儿童输注白蛋白实施扩容(证据等级:低,推荐强度:弱推荐)
证据评价方法:GRADE
指南质量等级:B
年份:2026
国家:中华医学会麻醉学分会小儿麻醉学组、中华医学会麻醉学分会青年学组《中国儿童围手术期液体管理指南(202
Array
(
[id] => 3025
[catid] => 242
[title] => 中国儿童围手术期液体管理指南(2025版)
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => /show/3025.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://rs.yiigle.com/cmaid/1667662
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2026
[guojia] => 中华医学会麻醉学分会小儿麻醉学组、中华医学会麻醉学分会青年学组《中国儿童围手术期液体管理指南(202
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 不推荐羟乙基淀粉130/0.4和明胶用于已有肾功能不全或肾发育不良、凝血功能障碍、感染性休克或感染导致的相关器官功能障碍的儿童(证据等级:中,推荐强度:强推荐)
[znzldj] => B
[_inputtime] => 1776138138
[_updatetime] => 1776138138
[_nrjc] =>
[_nrsh] =>
)
推荐意见
不推荐羟乙基淀粉130/0.4和明胶用于已有肾功能不全或肾发育不良、凝血功能障碍、感染性休克或感染导致的相关器官功能障碍的儿童(证据等级:中,推荐强度:强推荐)
证据评价方法:GRADE
指南质量等级:B
年份:2026
国家:中华医学会麻醉学分会小儿麻醉学组、中华医学会麻醉学分会青年学组《中国儿童围手术期液体管理指南(202
Array
(
[id] => 3026
[catid] => 242
[title] => 中国儿童围手术期液体管理指南(2025版)
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => /show/3026.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://rs.yiigle.com/cmaid/1667662
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2026
[guojia] => 中华医学会麻醉学分会小儿麻醉学组、中华医学会麻醉学分会青年学组《中国儿童围手术期液体管理指南(202
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 推荐对有低血糖风险的儿童、新生儿输注含1%葡萄糖的等渗平衡晶体液,术中应定期监测血糖(证据等级:中,推荐强度:强推荐)
[znzldj] => B
[_inputtime] => 1776138138
[_updatetime] => 1776138138
[_nrjc] =>
[_nrsh] =>
)
推荐意见
推荐对有低血糖风险的儿童、新生儿输注含1%葡萄糖的等渗平衡晶体液,术中应定期监测血糖(证据等级:中,推荐强度:强推荐)
证据评价方法:GRADE
指南质量等级:B
年份:2026
国家:中华医学会麻醉学分会小儿麻醉学组、中华医学会麻醉学分会青年学组《中国儿童围手术期液体管理指南(202
Array
(
[id] => 3027
[catid] => 242
[title] => 中国儿童围手术期液体管理指南(2025版)
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => /show/3027.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://rs.yiigle.com/cmaid/1667662
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2026
[guojia] => 中华医学会麻醉学分会小儿麻醉学组、中华医学会麻醉学分会青年学组《中国儿童围手术期液体管理指南(202
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 推荐对早产儿、脓毒症新生儿及接受完全肠外营养的儿童,术中可使用2.5%~ 5%葡萄糖注射液,但需密切监测血糖和电解质水平(证据等级:中,推荐强度:弱推荐)
[znzldj] => B
[_inputtime] => 1776138138
[_updatetime] => 1776138138
[_nrjc] =>
[_nrsh] =>
)
推荐意见
推荐对早产儿、脓毒症新生儿及接受完全肠外营养的儿童,术中可使用2.5%~ 5%葡萄糖注射液,但需密切监测血糖和电解质水平(证据等级:中,推荐强度:弱推荐)
证据评价方法:GRADE
指南质量等级:B
年份:2026
国家:中华医学会麻醉学分会小儿麻醉学组、中华医学会麻醉学分会青年学组《中国儿童围手术期液体管理指南(202