摘要
目的 观察缩合葡萄糖氯化钠注射液治疗麻醉恢复室 (PACU)患者低血压的疗效。方法 3 2例PACU患者 ,出现低血压后予以缩合葡萄糖氯化钠注射液 5 0 0ml以 12ml·kg-1·h-1滴注 ,记录注药前、注药后 5、15、3 0、60min的平均动脉压 (MAP) ,心率(HR) ,记录注药后 1h的尿量 ,并且在注药前和注药后 1h行血气分析检测。结果 注药后 5min后MAP即明显上升 ,升压作用持续60min以上 ;注药后尿量增加 ;注药后Hb和K+ 则明显下降。结论 缩合葡萄糖氯化钠注射液能有效地扩充血容量 ,升高血压 ,节约用血 。
Objective To observe the effects of polyglucose and sodium chloride injection on treating hypotension of patients in postanesthesia care unit (PACU).Methods Everyone of thirty-two patients with hypotension in PACU received 500ml polyglucose and sodium chloride injection by venous injection at the velocity of 12ml·kg -1 ·h -1 .The mean arterial pressure (MAP),heart rate (HR) were recorded before administration and 5, 15,30,60 min after administration, the urine volume was measured at 1 hour after administration ,and the blood gas analysis were measured before injection and an hour after injection.Results The MAP increased significantly at 5min after administration,and the effects could last 60 minutes, the urine volume increased and the Hb and K + reduced remarkable after injection.Conclusions The administration of polyglucose and sodium chloride injection can effectively increase blood volume and blood pressure,and reduce blood transfusion,so might reduce complications of blood transfusion. [
出处
《中国医师杂志》
CAS
2003年第7期870-871,共2页
Journal of Chinese Physician
