Nikolov K, Khugasian A, Lazarov S
Anesteziol Reanimatol. 1990 Jan-Feb(1):30-1.
Fifteen patients examined after preoperative acute normovolemic hemodilution (PANH) up to hematocrit value of 0.30 developed a significant increase in cardiac output (CO) and cardiac index (CI) and a decrease in total peripheral resistance (TPR), other hemodynamic parameters remained unchanged. In normal hemodynamics the patient's age is not a contraindication for PANH. Noninvasive monitoring of hemodynamic parameters, CO, CI and TPR in particular, during surgery employing PANH is obligatory for the early diagnosis and correction of impaired circulation.
对15例术前进行急性等容血液稀释(PANH)直至血细胞比容值达到0.30的患者进行检查后发现,他们的心输出量(CO)和心脏指数(CI)显著增加,总外周阻力(TPR)降低,其他血流动力学参数保持不变。在正常血流动力学情况下,患者年龄并非PANH的禁忌证。在采用PANH的手术过程中,对血流动力学参数,尤其是CO、CI和TPR进行无创监测,对于早期诊断和纠正循环障碍至关重要。