Mendel T, Członkowska A
Kliniki Chorób Naczyniowych Układu Nerwowego Instytutu Psychiatrii i Neurologii w Warszawie.
Neurol Neurochir Pol. 1991 Mar-Apr;25(2):247-54.
Haemodilution includes intravenous administration of plasma-replacing solutions and/or blood letting for changing the rheological properties of blood, and for improvement of microcirculation. Three methods of haemodilution various plasma substitutes are given: dextran, hydroxyethyl starch (HES), electrolyte solutions (e.g. Ringer's solution, normal saline, 5% glucose, colloidal plasma, protein solutions), plasma, albumins. The controversial results of clinical trials of the method for therapeutic purposes are discussed. In the light of the reports as yet, it seems that the best results are obtained using normovolaemic haemodilution with administration of HES.
血液稀释包括静脉输注血浆代用品溶液和/或放血,以改变血液的流变学特性并改善微循环。给出了三种血液稀释方法及各种血浆代用品:右旋糖酐、羟乙基淀粉(HES)、电解质溶液(如林格氏液、生理盐水、5%葡萄糖、胶体血浆、蛋白质溶液)、血浆、白蛋白。讨论了该方法用于治疗目的的临床试验的有争议结果。根据目前的报告,似乎使用HES进行等容血液稀释能获得最佳效果。