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垂体后叶素和白蛋白对老年肝硬化患者血容量的影响 被引量:3

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摘要 目的比较垂体后叶素(PT)(血管收缩药物)和白蛋白对放腹水后的老年肝硬化患者有效血容量的影响。方法 48名有大量腹水的老年肝硬化患者随机分为两组,在穿刺腹水后分别予PT或白蛋白,通过测定血浆肾素浓度基线值和出院时数值比较来判断有效血容量变化。有效血容量不足表现为血浆肾素浓度超过基线值的50%。结果出院时两组患者血浆肾素浓度与基线浓度相比无明显变化(P=0.10),肾素浓度变化也无明显差别(P=0.39),两组患者中各有3例低血容量。结论 PT可以在老年肝硬化腹水患者穿刺引流后使用,以防止低血容量休克发生。
作者 张为卿 孟健
出处 《中国老年学杂志》 CAS CSCD 北大核心 2012年第11期2280-2282,共3页 Chinese Journal of Gerontology
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