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[正常血容量血液稀释]

[Normovolemic hemodilution].

作者信息

Cŏté D J

机构信息

Département d'anesthésie-réanimation, Université de Sherbrooke, Québec.

出版信息

Can J Anaesth. 1991 Mar;38(2):243-51. doi: 10.1007/BF03008155.

DOI:10.1007/BF03008155
PMID:2021998
Abstract

Transfusion of homologous blood to surgical patients is not without risks. Thus, strategies to prevent blood loss must be considered. This article deals with one of them: normovolaemic haemodilution together with its advantages, physiological consequences and technical aspects. In particular, it is important to follow certain inclusion criteria. The technique is safe, effective and relatively easy to implement. In the future, it could be used in non-surgical patients, when it is necessary to increase tissue perfusion.

摘要

给外科手术患者输注同源血并非没有风险。因此,必须考虑预防失血的策略。本文讨论其中一种策略:等容血液稀释及其优点、生理影响和技术方面。特别要注意遵循某些纳入标准。该技术安全、有效且相对易于实施。未来,当需要增加组织灌注时,它可用于非手术患者。

相似文献

1
[Normovolemic hemodilution].[正常血容量血液稀释]
Can J Anaesth. 1991 Mar;38(2):243-51. doi: 10.1007/BF03008155.
2
[Intentional normovolemic hemodilution (preliminary results)].[控制性等容血液稀释(初步结果)]
Chir Ital. 1984 Feb;36(1):17-25.
3
Acute limited normovolemic hemodilution: a method for avoiding homologous transfusion.急性有限等容血液稀释:一种避免同种输血的方法。
World J Surg. 1987 Feb;11(1):53-9. doi: 10.1007/BF01658460.
4
[Methodological aspects of normovolemic hemodilution].[正常血容量血液稀释的方法学方面]
Gematol Transfuziol. 1986 Jun;31(6):56-60.
5
[The present possibilities for routine use of blood-saving measures from the anesthesiologic point of view--theoretical basis and clinical practice. I. Potential risks of homologous transfusion; normovolemic hemodilution].[从麻醉学角度看目前常规采用血液保护措施的可能性——理论基础与临床实践。I. 同种输血的潜在风险;等容血液稀释]
Anaesthesiol Reanim. 1994;19 Suppl:4-10.
6
[Preoperative normovolemic hemodilution using erythropheresis].[采用血细胞单采术进行术前等容血液稀释]
Ann Fr Anesth Reanim. 1993;12(3):247-50. doi: 10.1016/s0750-7658(05)80649-5.
7
The effect of acute normovolaemic haemodilution on blood gas parameters: a case report.急性等容血液稀释对血气参数的影响:一例报告。
Adv Ther. 2008 Feb;25(2):148-51. doi: 10.1007/s12325-008-0014-1.
8
[Autologous blood transfusion: results with routine use of autologous blood transfusion, normovolemic hemodilution and postoperative retransfusion of drainage blood salvaged with the Solcotrans system].[自体输血:常规使用自体输血、等容血液稀释及术后回输用索科特兰系统回收的引流血的结果]
Swiss Surg. 1996;2(6):244-51.
9
[Application of hemodilution and autotransfusion in elective surgery].[血液稀释与自体输血在择期手术中的应用]
Minerva Anestesiol. 1981 Nov;47(11):775-82.
10
[Practical methods of long-term normovolemic hemodilution].[长期等容性血液稀释的实用方法]
Phlebologie. 1984 Jan-Mar;37(1):55-66.

本文引用的文献

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Effect of hematocrit on venous return.血细胞比容对静脉回流的影响。
Circ Res. 1961 Jan;9:157-64. doi: 10.1161/01.res.9.1.157.
2
Increased cardiac output and oxygen transport after intraoperative isovolemic hemodilution. A study in patients with peripheral vascular disease.术中等容血液稀释后心输出量和氧运输增加。一项针对外周血管疾病患者的研究。
Arch Surg. 1980 May;115(5):597-600. doi: 10.1001/archsurg.1980.01380050023006.
3
Estimating allowable blood loss: corrected for dilution.估计可允许失血量:校正稀释因素。
Anesthesiology. 1983 Mar;58(3):277-80. doi: 10.1097/00000542-198303000-00016.
4
Myocardial blood flow, oxygen uptake and carbon dioxide release of the human heart during hemodilution.血液稀释期间人体心脏的心肌血流量、氧摄取及二氧化碳释放
Acta Anaesthesiol Scand. 1982 Dec;26(6):589-91. doi: 10.1111/j.1399-6576.1982.tb01820.x.
5
Avoidance of homologous transfusion in aortic operations: the role of autotransfusion, hemodilution, and surgical technique.主动脉手术中避免同种输血:自体输血、血液稀释及手术技术的作用
Surgery. 1984 Jun;95(6):717-23.
6
Prevention of dextran-induced anaphylactic reactions by hapten inhibition. III. A Scandinavian multicenter study on the effects of 20 ml dextran 1, 15%, administered before dextran 70 or dextran 40.通过半抗原抑制预防右旋糖酐诱导的过敏反应。III. 一项关于在给予右旋糖酐70或右旋糖酐40之前静脉注射20毫升15% 右旋糖酐1的效果的斯堪的纳维亚多中心研究。
Acta Chir Scand. 1983;149(4):355-60.
7
Hemodynamics following normovolemic hemodilution in elderly patients.老年患者等容血液稀释后的血流动力学
Acta Anaesthesiol Scand. 1981 Oct;25(5):402-6. doi: 10.1111/j.1399-6576.1981.tb01674.x.
8
Regional blood flow during dextran-induced normovolemic hemodilution in the dog.右旋糖酐诱导犬等容性血液稀释期间的局部血流。
J Thorac Cardiovasc Surg. 1967 Apr;53(4):578-86.
9
The adequacy of myocardial oxygen delivery in acute normovolemic anemia.急性正常血容量性贫血时心肌氧供的充足性
Surgery. 1974 Apr;75(4):508-16.
10
Effect of acute anemia on experimental myocardial ischemia.急性贫血对实验性心肌缺血的影响。
Am J Cardiol. 1973 Oct;32(5):670-8. doi: 10.1016/s0002-9149(73)80061-x.