| 急性高容量血液稀释对深静脉血栓患者凝血功能的影响 |
| |
| 引用本文： | 曾凡荣,王宇恒,左会明,王宇娜. 急性高容量血液稀释对深静脉血栓患者凝血功能的影响[J]. 临床麻醉学杂志, 2011, 27(3) |
| |
| 作者姓名： | 曾凡荣 王宇恒 左会明 王宇娜 |
| |
| 作者单位： | 1. 黑龙江省佳木斯大学附属第一医院麻醉科,佳术斯市,154003
2. 沈阳市奉天医院 |
| |
| 基金项目： | 黑龙江省卫生厅指导项目 |
| |
| 摘 要： | 目的 探讨急性高容量血液稀释(AHH)对深静脉血栓患者凝血功能的影响.方法 30例股静脉血栓行取栓术患者随机分为三组,入手术室以20 mg·kg <'1>·h<'1>的速度输注6%羟乙基淀粉200/0.5(H组)、琥珀酰明胶(G组)、生理盐水(R组)40 min.观察AHH前后血小板计数(Plt)、血小板聚集功能(PAG)、凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)及纤维蛋白原(FIB)变化.结果 AHH后H组Plt明显低于AHH前和G、R组(P<0.05或P<0.01);APTT明显长于AHH前和G、R组(P<0.05或P<0.01);AHH后H组PAG明显低于AHH前和R组(P<0.05);AHH后G组FIB明显低于AHH前和H、R组(P<0.01).结论 AHH后胶体液较晶体液对深静脉血栓患者凝血功能影响明显,可改善患者术中血液高凝状态.
|
| 关 键 词： | 深静脉血栓 急性高容量血液稀释 凝血功能 |
The effect of acute hypervolemic hemodilution on blood coagulation in patients with deep venous thrombosis |
| |
| ZENG Fan-rong,WANG Yu-heng,ZUO Hui-ming,et al.. The effect of acute hypervolemic hemodilution on blood coagulation in patients with deep venous thrombosis[J]. The Journal of Clinical Anesthesiology, 2011, 27(3) |
| |
| Authors: | ZENG Fan-rong WANG Yu-heng ZUO Hui-ming et al. |
| |
| Affiliation: | ZENG Fan-rong,WANG Yu-heng,ZUO Hui-ming,et al.Department of Anesthesiology,the First Hospital of Jiamusi University,Jiamusi 154003,China |
| |
| Abstract: | Objective To investigate the effect of acute hypervolemic hemodilution on blood coagulation in patients with deep venous thrombosis.Methods Thirty patients undergoing embolectomy due to femoral vein thrombosis were randomly divided into three groups with ten cases each:group R(sodium chloride injection),group H(6% hydroxyethyl starch 200/0.5,HES)and group G(gelofusine,GEL).All patients received respective fluid 20 ml/kg h 40 min.The changes in platelet(PLT),platelet agglutination test(PAG),activated partial... |
| |
| Keywords: | Deep venous thrombosis Acute hypervolemic hemodilution Blood coagulation |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
|
