血液稀释对全麻腹腔镜活体肾移植供体围手术期氧合功能的影响临床医学.docVIP

血液稀释对全麻腹腔镜活体肾移植供体围手术期氧合功能的影响临床医学 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：血液稀释对全麻腹腔镜活体肾移植供体围手术期氧合功能的影响临床医学 1 1 资料与方法 3 2 结 果 4 3 讨 论 5 文2：腹腔镜腹股沟疝修补术围手术期护理经验临床医学 6 1　资料和方法 7 2　结果 7 3　护理体会 7 4　讨论 9 参考文摘引言： 9 原创性声明（模板） 11 文章致谢（模板） 12 正文 血液稀释对全麻腹腔镜活体肾移植供体围手术期氧合功能的影响临床医学 文1：血液稀释对全麻腹腔镜活体肾移植供体围手术期氧合功能的影响临床医学 【Abstract】 Objective:To explore the effect of the different hemodilution status on oxygenation function of living renal traplantation donor with general :Fortyeight healthy adult voluntee were divided into four groups:A group (n=10,as control,sodium lactate Ringer s solution used),B group(n=12,45ml/kg 4% Succinylated Gelatin used),C group(n=13,20ml/kg 4% Succinylated Gelatin used),and D group(n=13,30ml/kg 4% Succinylated Gelatin used) received laparoscopic renal traplantation under general ,C and D group were given 4% Succinylated Gelatin via injection venous respectively as the dosage of 45ml/kg,20ml/kg and 30ml/kg between induction of anesthesia and blockage of renal artey in order to perform different index such as MAP,HR,ECG,SpO2,CVP,CO,CI wereobserved before induction of anesthesia (T0),after making incision (T1),bolcking the renal artery (T2) and 15min after blockage (T3),the ending of operation (T4)a dn 240min after operation (T5).Blood gas analysis was also done at the same time and colloid and crystal liquid were respectively written down at T2 and groups were injected venously sodium lactate Ringers solution at the speed of  their values of MAP exceeded 30% of basis the patients would be given glycerol trinitrate and dihydroxyphenyl the blockage of renal artery,40mg Furosemide were :(1)There are no significant difference in ECG,SpO2 and crystal liquid in four groups;(2)MAP and CVP at T1,T2,T3 and T4 in C and D group were higher than those in A and B group(P＜),but the values were in normal range;(3)Compared to those at T0,Hb and Hct at T2 and T3 in C and D group decreased significantly (P＜),which reach the level of m