【摘要】 重症新型冠状病毒肺炎患者在疾病早期以呼吸受累及为主要矛盾,应遵循保守的液体策略,并结合血流动力学监测和评估制定容量平衡目标,尤其对于高龄患者应防止液体的大进大出;若合并休克,则应进行容量反应性评估后确定容量管理目标。重症新型冠状病毒肺炎患者的容量管理应该个体化,并做好医护配合。更多还原

【Abstract】 Since respiratory failure is the main manifestation of early-stage severe coronavirus disease 2019(COVID-19) patients, conservative fluid strategy should be followed, and the fluid balance goal should be set based on hemodynamic monitoring and evaluation. In cases with concomitant shock, fluid management goals should be determined after fluid reactivity assessment. The fluid management in severe COVID-19 patients should be individualized with good coordination between doctors and nurses.更多还原