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[急性出血的输注疗法]

[The infusion therapy of the acute bleeding].

作者信息

Bagdasarova E A, Iarochkin V S, Chernookov A I, Bagdasarov V V, Ramishvili V Sh

出版信息

Khirurgiia (Mosk). 2008(8):68-72.

PMID:18833153
Abstract

Intravenous colloid and crystalloid solutions are the mainstay of the acute bleeding therapy. Infusion therapy normalizes the blood circulation volume and improves its flow characteristics. The conducted study revealed that the method normovolemic hemodilution lead to an early unknown type of oxygen insufficiency called the dilutional anemic hypoxia. Authors set up and proved the hypothesis, that decompensated dilutional anemic hypoxia lead to cardiac insufficiency, leading finally to the so called dilutional circulatory hypoxia.

摘要

静脉输注胶体液和晶体液是急性出血治疗的主要手段。输液疗法可使血液循环量恢复正常并改善其血流特性。所进行的研究表明,正常血容量血液稀释法会导致一种早期未知类型的氧供应不足,即稀释性贫血性缺氧。作者提出并证实了这一假设,即失代偿性稀释性贫血性缺氧会导致心脏功能不全,最终导致所谓的稀释性循环性缺氧。

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