6% hydroxyethyl starch-line acute hypervolemic hemodilution on blood electrolytes and acid-base balance.docVIP

 PAGE \* MERGEFORMAT 11 6% hydroxyethyl starch-line acute hypervolemic hemodilution on blood electrolytes and acid-base balance Author: Ming-Jun Zhang, Han Han, Qiuli Lin, Jiang Qiurong, Jin Shujun [Abstract] Objective To investigate the 6% hydroxyethyl starch (HES, 200/0.5) line of acute hypervolemic hemodilution (AHHD) on blood electrolytes and acid-base balance of the body affected. Methods 20 patients with 20 to 40-year-old, ASA Ⅰ ~ Ⅱ grade elective ENT surgery in patients with intubation anesthesia in order to 6% HES15 ml / kg with moderate hemodilution expansion line. Yu AHHD ago, AHHD after the end of operation, when measured Hct, Hb, serum electrolytes and acid-base balance of indicators for comparison. AHHD results after the surgery at the end Hct, Hb compared with previous AHHD significantly lower, AHHD after Hct, Hb decreased by 23.1% and 21.4%, to moderate hemodilution condition; AHHD drop of blood K concentration of 13.65%, the blood concentration of Ca2 has also decreased significantly by 39.80% but were within the normal range; AHHD before and after the pH, and blood Na concentration did not differ statistically significant. Conclusion 6% HES solution, OK effective in AHHD make Hct and Hb decreased to target levels, while maintaining the stability of the body of blood electrolytes and acid-base balance, which is a safe and effective method AHHD. [Keywords:] acute hypervolemic hemodilution; plasma substitute; blood components Abstract: Objective To investigate the effect of acute hypervolemic hemodilution (AHHD) with 6% of HES on blood electrolytes and acid-base balance.Methods Twenty patients (ASA Ⅰ - Ⅱ , 20-40 years old) were selected and scheduled for ophthalmologic and otorhinolaryngologic operation under general anesthesia. They received 6% of HES (15ml/kg) for moderate hemodilution. Arterial blood samples were taken for determination of HCT, Hb, K, Na, Ca2 and pH before and after AHHD, and at the end of surgical operation.Results HCT