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先天性心脏病患儿体外循环万汶预充对血浆胶体渗透压的影响
引用本文:姚洪林,任静华,孙宾,何常佑,刘小玲,吴远林.先天性心脏病患儿体外循环万汶预充对血浆胶体渗透压的影响[J].西部医学,2011,23(5):952-953,956.
作者姓名:姚洪林  任静华  孙宾  何常佑  刘小玲  吴远林
作者单位:宜宾市第二人民医院麻醉科,四川宜宾,644000
摘    要:目的观察先天性心脏病患儿体外循环预充羟乙基淀粉130/0.4(万汶)对血浆胶体渗透压的影响。方法将50例体外循环低温全麻心脏手术患儿随机分为观察(万汶)组和对照组各25例,于体外循环中分别预充万汶400ml和血浆10 ml/kg。观察体外循环(CPB)前、CPB开始后10 min、CPB开始后30 min、CPB结束、术后6h及术后24h血浆胶体渗透压(COP)变化、辅助呼吸时间、术后24小时胸液量和尿量及患儿眼球结膜、眼睑水肿情况。结果与对照组比较,万汶组CPB开始后10、30 min、CPB结束、术后6h COP显著高于对照组(P〈0.05);万汶组术后辅助呼吸时间较短,出现眼球结膜、眼睑水肿的比率较低。结论以万汶预充能够较好维持先天性心脏病体外循环患儿血浆胶体渗透压水平。

关 键 词:心脏  体外循环  羟乙基淀粉  胶体渗透压

Influence of hydroxyethyl starch HES 130/0.4 on plasma colloid osmotic pressure for cardiopulmonary bypass in children
YAO Hong-lin,REN Jing-hua,SUN Bin,et al.Influence of hydroxyethyl starch HES 130/0.4 on plasma colloid osmotic pressure for cardiopulmonary bypass in children[J].Medical Journal of West China,2011,23(5):952-953,956.
Authors:YAO Hong-lin  REN Jing-hua  SUN Bin  
Institution:YAO Hong-lin,REN Jing-hua,SUN Bin,et al(The Second People's Hospital of Yibin,Yibin 644000,Sichuan,China)
Abstract:Objective To investigate the influence of hydroxyethyl starch HES 130/0.4(Voluven) preparation on colloid osmotic pressure for cardiopulmonary bypass in children.Methods 50 cases of open heart surgical children under cardiopulmonary bypass were randomly divided into two groups: patients from Voluven group were infused with 6% Volven(130/0.4)400 ml before cardiopulmonary bypass;patients form the control group were infused with blood plasma 10 ml/kg before cardiopulmonary bypass.Colloid osmotic pressures(COP)...
Keywords:Heart  Cardiopulmonary bypass  Hydroxyethyl starch  Colloid osmotic pressure  
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