急性高容量血液稀释对血流动力学、凝血及肾功能的影响.pdfVIP

研究原著 文章编号I 1000 2790 2003 15 1411 04 急性高容量血液稀释对血流动力学\凝血及肾功能的影响 陈绍洋!胡 胜!王 强!朱萧玲!侯丽宏!熊利泽!李树志!李 娟 第四军医大学西京医院麻醉科 陕西 西安 710033 收稿日期I 2002 08 11 I 修回日期I 2002 12 03 基金项目I第四军医大学西京医院创新课题 2002038 通讯作者I陈 绍 洋 1963 男 汉 族 浙 江 省 绍 兴 市 人 . 主 任 医 师 . el . 029 3375343 Email . chens y ＠ f mmu .edu .cn Effects of acute h yp ervolemic hemodil u- ti on on hemod y namics blood coa g ul a- ti on and renal f uncti on i n p atients un- der g oi n g vertebral sur g er y C~EN Shao-Yan g ~UShen g WANG Gian g Z ~U Xiao- Lin g ~OULi- ~on g XI ONGLi- Ze LI Shu- Zhi LI j uan De p art ment Of Anest hesi Ol O gy Xi j i n g HOs p ital FOurt h Mili- tar y Medical uni versit y Xi an 710033 Chi na Abstract AI M To eval uat e t he eff ect s of acut e h yP er vol emi c hemodi l uti on AHH on hemod y nami cs bl ood coa 9 ul ati on and r enal f uncti on . METHODS Ei 9 ht een P ati ent s under 9 oi n 9 vert e br al sur 9 i cal P r ocedur es Wer e r andoml y di vi ded i nt o contr ol C 9 r ou P and AHH 9 r ou P aft er i nducti on of anest hesi a . AHH Was P r oduced b y P r eo P er ati ve i nf usi on of 15 20 mL k 9 1 of 60 9 L 1 h y dr ox y et h y l st ar ch HES at t he r at e of 30 mL mi n 1 Wi t hout r emovi n 9 bl ood . Mean art er i al bl ood P r essur e MAP heart r at e HR and centr al venous P r essur e CVP Wer e moni t or ed f or 24 hour s . Bl ood anal y si s bl ood coa 9 ul ati on r enal f uncti on and art er i al bl ood 9 as anal y si s Wer e made bef or e and aft er AHH at t he end of sur 9 er y and 24 h aft er o P er ati on . Ar t e r i al ox y9 en cont ent CaO 2 Was cal cul at ed and i nt r ao P er ati ve bl ood l oss t r ansf usi on r e C ui r ement s and P ost o P er ati ve tr ansf u si on r e C ui r ement s Wer e r ecor ded . RESULTS Bl ood l oss and tr ansf usi on r e C ui r ement s Wer e si mi l ar i n t he t Wo 9 r ou P s . Al l o