| 肝移植术中运用贺斯和白蛋白对肺功能的影响 |
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| 引用本文： | 徐海涛,石学银,袁红斌,王亚华,李永华,朱秋峰.肝移植术中运用贺斯和白蛋白对肺功能的影响[J].临床军医杂志,2008,36(2):190-192. |
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| 作者姓名： | 徐海涛 石学银 袁红斌 王亚华 李永华 朱秋峰 |
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| 作者单位： | 上海长征医院,麻醉科,上海,200003 |
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| 摘 要： | 目的探讨中分子羟乙基淀粉(贺斯)和白蛋白在肝移植术中应用对患者术后肺功能的影响。方法选择30例拟肝移植术患者,随机分为贺斯组和白蛋白组,分别与术后6、12、18 h取动脉血测定血气、混合静脉血气、计算氧合指数和肺泡-动脉氧分压差P(A-a)DO2],记录术后呼吸机应用时间。结果白蛋白组术后12、24 h血管外肺水显著高于贺斯组(P<0.05);血管外肺水两组术后不同时间点P(A-a)O2的变化无明显差异;两组术后不同时间点氧合指数的变化无明显差异。白蛋白组患者术后呼吸机应用时间显著长于贺斯组(P<0.05)。结论贺斯能改善肝移植术后肺功能,与其治疗毛细血管渗漏综合征有关。
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| 关 键 词： | 羟乙基淀粉 白蛋白 肺功能 肝移植 |
Effect of Hydroxyethyl Starch and Albumin on Lung Function in Liver Transplantation |
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| Xu Hai-tao,Shi Xue-yin,Yuan Hong-bin,Wang Ya-hua,Li Yong-hua,Zhu Qiu-feng.Effect of Hydroxyethyl Starch and Albumin on Lung Function in Liver Transplantation[J].Clinical Journal of Medical Officer,2008,36(2):190-192. |
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| Authors: | Xu Hai-tao Shi Xue-yin Yuan Hong-bin Wang Ya-hua Li Yong-hua Zhu Qiu-feng |
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| Institution: | Xu Hai-tao,Shi Xue-yin,Yuan Hong-bin,Wang Ya-hua,Li Yong-hua,Zhu Qiu-feng(Department of Anesthesiology,Changzheng Hospital,Shanghai 200003,China) |
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| Abstract: | Objective To observe the effect of 6% hydroxyethyl starch(HES) or 20% albumin for priming on lung function in liver transplantation.Methods Thirty patients undergoing liver transplantation were divided randomly into two groups: Group HES and Group Albumin.Respiratory index (RI) and P(A-a)DO2 were measured in the two groups at 6,12 and 24 hours after operation and the use time of mechanical ventilator was recorded.Results Compared with that of Group HES,the extra-vascular lung water(EVLW) of Group Albumin wa... |
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| Keywords: | hydroxyethyl starch liver transplantation lung function albumin |
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