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| 急性等溶血液稀释在非停跳冠状动脉搭桥术中的血液保护效果 | |
| 引用本文： | 张亮,卿恩明,卢家凯,董秀华,胡适. 急性等溶血液稀释在非停跳冠状动脉搭桥术中的血液保护效果[J]. 心肺血管病杂志, 2011, 30(2): 140-143. DOI: 10.3969/j.issn.1007-5062.2011.02.013 |
| 作者姓名： | 张亮 卿恩明 卢家凯 董秀华 胡适 |
| 作者单位： | 首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所,麻醉科,北京,100029 |
| 摘 要： | 目的:评价急性等溶血液稀释(ANH)在非停跳冠状动脉搭桥术中血液保护的临床效果。方法:选择非停跳冠状动脉搭桥术患者60例,随机分为血液稀释组(A组,n=30例)和对照组(C组,n=30例)。A组于麻醉平稳后经中心静脉采血,同时输入等容量胶体液,将红细胞压积稀释到30%。血液稀释后各时点记录血流动力学及Hb变化情况。记录2组患者术前,术后4 h、24 h、48 h红细胞血小板等变化情况,同时记录血浆用量、浓缩红细胞用量、术后4 h,24 h引流量等指标。结果:2组患者术前一般情况差异无统计学意义(P>0.05)。A组血浆及浓缩红细胞用量显著低于C组(P<0.05)。结论:在非停跳冠状动脉搭桥术患者应用适度ANH可减少术中、术后异体血液用量。 |
| 关 键 词： | 血液稀释 非停跳冠状动脉搭桥术 血液输注 冠状动脉疾病 |
Evaluation of acute normovolemic hemodilution on blood conservation during off-pump coronary artery bypass grafting surgery |
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| ZHANG Liang,QING Enming,LU Jiakai,DONG Xiuhua,HU Shi. Evaluation of acute normovolemic hemodilution on blood conservation during off-pump coronary artery bypass grafting surgery[J]. Journal of Cardiovascular and Pulmonary Diseases, 2011, 30(2): 140-143. DOI: 10.3969/j.issn.1007-5062.2011.02.013 | |
| Authors: | ZHANG Liang QING Enming LU Jiakai DONG Xiuhua HU Shi |
| Affiliation: | ZHANG Liang,QING Enming,LU Jiakai,DONG Xiuhua,HU Shi Department of Anesthesiology,Capital Medical University affiliated Beijing Anzhen Hospital,Beijing Institute of Heart,Lung and Blood Vessel Diseases,Beijing 100029,China |
| Abstract: | Objective:To evaluate acute normovolemic hemodilution(ANH) on blood conservation during off-pump coronary artery bypass grafting surgery(OPCABG).Methods:Sixty patients scheduled for off-pump coronary artery bypass surgery were randomly assigned to ANH group(A group,30 patients) or control group(C group,30 patients).In the ANH group,following anesthesia induction,blood was withdrawn from a central vein by gravity,in parallel,6% hydroxyethyl starch(HAES) was infused to maintain normovolemia.The hemodynamics m... |
| Keywords: | Hemodilution Off-pump coronary artery bypass surgery Blood transfusion Coronary artery disease |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |