摘要
目的 :观察肝脏切除手术中应用急性等容血液稀释对病人生理功能的影响。方法 :1 0例肝脏切除病人全麻后 ,经桡动脉采集自体血总容量的 2 0 % - 30 % ,同时经外周静脉补充同等容量的血定安 ,测定采血前后各项生理指标变化。结果 :Hb、HCT及 PLC与血液稀释前相比呈稀释性下降 ,且有显著性差异 ( P<0 .0 5)。但采血前后血流动力学稳定 ,临床未见缺氧、CO2 蓄积等异常。结论 :急性等容血液稀释可以安全的应用于肝脏切除手术中 ,并且可以减少输入库血 。
Objective: To study the effect on the physiological function of patients with the acute isocubage blood dilution during the liver resection. Methods: After general anaesthesia, the blood was gathered through radioartery for 20%～30% of the whole body in 10 patients with hepatectomy, Gelofusine of the same volume was injected through the exterior vein and the indexes were determined before and after gathering blood at the same time. Result: There is a remarkable difference in HB、HCT and PLC between that before and after dilution. But the indexes of blood stream dynamics were steady and there were not anoxemia and the cumulation of CO 2. Conclusion: The acute isocubage blood dilution could not only be safely used in hepatectomy, but also reduce the injection of bank blood and improve the prognosis of the patient.
出处
《淮南工业学院学报》
2001年第1期62-64,共3页
Journal of Huainan Institute of Technology(Natural Science)
