急性高容量血液稀释与急性等容量血液稀释的临床比较.pdfVIP

. 942 急性高容量航液稀释与急性等容量血液稀释的 临床比较 卢贵明黄锦联劳因连廖锡强 {摘要} 爵的 比较念、饺高容最底液稀释(AHH)与急性等容缓血液稀释(ANH)在节约用JfJl c护的临床效 果。方法 68 i9~椎管减压内阁定术的患者，随机分为两组:急性等容量血液稀释(ANH)组 (11 = 30) ，术前采 集每公斤体建 15 rnl 的自体戚，同时输入每公斤体激 22.5 rnl 的唬琐曹先明胶 (GEL); 念、性高容缓血液稀释 (AHH)组 (11=38) ， 7京前输入每公斤体蒙 22.5 rnl 的泼玉良敢明跤，但不采集段体血，用吸人异氟磁来避免豆豆管 内容ff:l{iif过高。分别于麻醉前，血液稀释后，*毕后和*后 1 、 2 飞 3 d 采血检测 Hb 、 HC丁、 PLT，川、 AP丁丁、 FLB，记录两级患者 MAP、阳、采血晕、失血震、回收血囊、异体输血最和血液稀释所需时间、耗材和设备。结 巢 两组一般情况差异充统计学意义。两组水牛失跑堂、71之后:kJfJl盘、血红蛋白、血球应积、血小板、凝血功能 以及异体输血旦掌辈辈异均元统计学意义 (P 0.05) 0 ANH 组平均动掠压在底液稀释后碗豆呈下降(P 0.05) 。 两级总耗时比较 .P 0.05。结论 使用 AHH 比 ANH 简单、省时、节约和减少污染机会，更有利于循环稳定。 {关键词) 血液稀释;商容最;等容量去;碗闲散明胶 Comparative clinical effects of 器cute hyper飞olemic hemodillltion and acute non悦。1嗡lemic hemodilution LU Gui盼 ming ,HUANG }i扣lian ,LAO G咀E时ia，乱 ， LIAO Xi-qiang , Department 01 Anesthesiology 、 Xinhui People s Hospí- tal ,} iangme吼 ， Gua.ngdong 529100 , Chína [Abstract] Objective 丁o eval口ate the clinical effect of acute hypervolemic hemodilution and acute normov- olemic hemodilution in economy with clinical blood infusion. Methods 68 patíents with vertebrate tube decompres胁 sion were divided into two groups randomly: acute hypervolemic hemodilution group ( n = 38) and acute normov olemic hernodìlution group( n 但 30). 丁he each kìlogram weìght 15ml body blood were collected before operatíons and input the each kìlogram weight 22. 5ml gelofusine at the same tíme in AI\lH 窑roup. The 础ch kilogram 哺eight 22.5ml gelofusìne were ìnfused and body blood was not collected from the body blood , used to inhale the isoflurane to avoid the afferent contents burden measuring high. The bl∞d examìnation of Hb , HC丁， PL丁， PT ， APT丁， FLB were implemanted before the anaesthesia , after the bl∞，d dilutio日， time of the surgical operation be over and after operation fìnish 1 ,2 ,3 days respecti飞lely. MAP , HR , the amoum 时opting of blood , the amount losing of 以∞小 the amount of recovering blo叫， the different body bl∞d transfusion quantity , the hemodilution need and consumin