6% hydroxyethyl starch on laparoscopic hysterectomy surgery in patients with platelet and coagulation function.docVIP

 PAGE \* MERGEFORMAT 7 6% hydroxyethyl starch on laparoscopic hysterectomy surgery in patients with platelet and coagulation function Author: Zhengxue Zhen Xu Yin-Mei Xu Shulian [Keywords:] 6% hydroxyethyl starch laparoscopic hysterectomy surgery blood platelets from clotting function 6% hydroxyethyl starch may reduce surgical RBC and other blood components, such as the loss of coagulation factors to reduce the perioperative transfusion of banked blood, thereby reducing blood transfusion and the various adverse reactions, lower medical costs and reduce blood-borne disease. This study was designed to observe the laparoscopic, resection of the uterus and enter the 6% hydroxyethyl starch in patients before and after the platelet function and coagulation changes. Are reported below. 1 Materials and Methods 1.1 General Information Select from September 2006 to March 2007 First People’s Hospital Chun’an choose elective laparoscopic resection of the uterus and 60 patients, according to American Society of Anesthesiologists (American society of anesthesiologists, ASA) rating of I ~ Ⅱ grade , age 38 to 69 years old, mean age (49.62 ± 3.12) years of age, weighing 48 ~ 75kg, the average (53.49 ± 1.12) kg. Preoperative cardiopulmonary function and no abnormal coagulation function without taking anti-clotting drugs, anti-inflammatory analgesic affect platelet function and coagulation drugs. 1.2 Methods were intramuscularly 30min before anesthesia, diazepam 10mg, atropine 0.5mg. Into the operating room after the first blood sample as control, and then midazolam, fentanyl, atracurium, propofol rapidly induced by tracheal intubation. Intraoperative intermittent bolus of propofol, anesthesia was maintained with atracurium. 6% hydroxyethyl starch (from Chifeng MDS Pharma Co., Ltd. production, average molecular weight 200kD, to replace the grade 0.5) infusion rate of 10 ~ 15m1/min, they lose to 1000ml, 1500ml, respectively from the cubital vein blood in your 2ml censorsh