血浆容量置换
Plasma volume substitution.
作者信息
Karanko M S
机构信息
Department of Anesthesiology, Turku University Central Hospital, Finland.
出版信息
Acta Anaesthesiol Scand Suppl. 1988;89:54-7. doi: 10.1111/j.1399-6576.1988.tb02844.x.
Blood loss up to 10-15% of the total blood volume can be substituted by mere crystalloids. A quicker and more stable volume replacement can be accomplished with colloid solutions. Combination of artificial colloids (e.g., dextran 60, dextran 70 or hydroxyethyl starches with high degree of hydroxyethylation) with crystalloids (isotonic balanced solutions) produces a long lasting volume effect. Due to dose limitation recommendations for the artificial colloids, volume substitution may be continued, at a later stage, by albumin.
高达总血容量10 - 15%的失血仅用晶体液即可补充。使用胶体溶液可实现更快、更稳定的容量替代。人工胶体（如右旋糖酐60、右旋糖酐70或羟乙基化程度高的羟乙基淀粉）与晶体液（等渗平衡溶液）联合使用可产生持久的容量效应。由于对人工胶体有剂量限制建议，后期可用白蛋白继续进行容量替代。
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