| 急性等容量血液稀释在骨关节手术中应用 |
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| 引用本文： | 王建珍,薄志华,李蔚波,祁喆,李国燕.急性等容量血液稀释在骨关节手术中应用[J].中国临床医学,2010,17(2):254-256. |
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| 作者姓名： | 王建珍 薄志华 李蔚波 祁喆 李国燕 |
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| 作者单位： | 上海市第二人民医院麻醉科,上海,200011 |
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| 摘 要： | 目的：观察急性等容量血液稀释（ANH）在骨关节手术中的节约用血效果。方法：择期行骨科大手术患者18例,随机分成两组：C组（n=9）为对照组,在手术前不进行血液稀释;ANH组（n=9）为研究组,在麻醉后手术前进行等容量血液稀释。患者麻醉诱导后手术开始前进行ANH。放血量（V）=患者预计血容量（EBV）×放血前血细胞压积（H0）-允许最低血细胞压积（Hf）]/H0和Hf的均值（Hctav）,本研究中允许最低血细胞压积为25%。连续监测血压、心率和心律、脉搏氧饱和度,记录术中尿量,出血量、输血补液量,术毕、术后24h及72h分别查血红蛋白（Hb）、血细胞压积（Hct）、血小板计数（Bpc）。结果：ANH组平均采血量为（883±204）mL,稀释后Hct平均为（27.67±4.86）%,对照组输异体血的量明显高于ANH组,而输液量明显低于ANH组。两组手术结束时及术后24h、72h的Hb、Hct都较术前有明显降低。ANH组血液稀释后Bpc有减少趋势,而对照组同一时点无明显改变。结论：骨科大手术中失血较多,ANH是节约用血的有效方法。
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| 关 键 词： | 等容量血液稀释 骨科手术 |
Acute Normovolaemic Hemodilution during Elective Osteoarticular Surgery |
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| WANG Jianzhen BO Zhihua LI Weibo QI Zhe LI Guoyan.Acute Normovolaemic Hemodilution during Elective Osteoarticular Surgery[J].Chinese Journal Of Clinical Medicine,2010,17(2):254-256. |
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| Authors: | WANG Jianzhen BO Zhihua LI Weibo QI Zhe LI Guoyan |
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| Affiliation: | WANG Jianzhen BO Zhihua LI Weibo QI Zhe LI Guoyan Department of Anesthesiology,Shanghai the Second People's Hospital,Shanghai 200011,China |
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| Abstract: | Objective:To investigate the effect of acute normovolaemic hemodilution(ANH) for reducing the use of allogeneic blood during osteroarticular surgery. Methods:18 patients undergoing elective surgery were divided into two groups randomly:group C (contrast,n=9) and group ANH(n=9). In group C acute normovolaemic hemodilution was not implied after induction of anesthesia. In group ANH,acute normovolaemic hemodilution was initiated after induction of anesthesia. ANH was performed after induction of anesthesia but... |
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| Keywords: | Normovolaemic hemodilution Osteroarticular surgery |
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