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[术前急性等容血液稀释期间的血流动力学变化(前瞻性、随机对照研究)]

[The hemodynamic changes during preoperative acute normovolemic hemodilution (prospective, randomized and comparative research)].

作者信息

Nikolov K, Khugasian A, Lazarov S

出版信息

Anesteziol Reanimatol. 1990 Jan-Feb(1):30-1.

PMID:2190504
Abstract

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.

摘要

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。

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