Pull ter Gunne A J, Bruining H A, Obertop H
Department of Surgery, University Hospital Dijkzigt, Rotterdam, The Netherlands.
Neth J Surg. 1990 Aug;42(4):113-7.
The effect of optimal hydration on haemodynamics and renal function during infrarenal aortic cross clamping was studied in 26 consecutive patients operated on because of an infrarenal aortic aneurysm. The patients were randomly divided over two groups. The patients of group B (n = 13) were optimally hydrated before the operation. The Starling curve was used as standard. Patients of group A (n = 13) served as control. The pre-operative and postoperative renal functions of both groups were compared, as were the haemodynamic parameters. The haemodynamic parameters were measured at five minutes intervals during the entire procedure. During aortic clamping the heart rate was significantly lower in patients of group B, indicating a lower myocardial oxygen consumption. Neither the haemodynamic parameters nor the renal function showed other beneficial effects on optimal hydration.
对26例因肾下腹主动脉瘤接受手术的连续患者，研究了最佳补液对肾下腹主动脉阻断期间血流动力学和肾功能的影响。患者被随机分为两组。B组（n = 13）患者在手术前进行了最佳补液。以斯塔林曲线作为标准。A组（n = 13）患者作为对照。比较了两组患者术前和术后的肾功能以及血流动力学参数。在整个手术过程中，每隔五分钟测量一次血流动力学参数。在主动脉阻断期间，B组患者的心率显著较低，表明心肌氧耗较低。最佳补液对血流动力学参数和肾功能均未显示出其他有益作用。
