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心脏手术预充液大揭秘:HES 还是明胶,谁才是肾损伤 “幕后推手”?
在心脏外科手术的世界里,液体管理就像是一场精细的平衡游戏。医生们一方面要努力减少因输液和体外循环(CPB,Cardiopulmonary Bypass,一种在心脏手术中替代心脏和肺功能的技术)导致的血液稀释,另一方面还要预防低血容量、组织水肿以及大量输血引发的心血管并发症。而在这场游戏中,液体类型的选择成了一个备受争议的焦点。
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