Syvorotkin M V, Avakov V E, Karapetian P Z, Tsoĭ A M
Anesteziol Reanimatol. 1989 May-Jun(3):35-7.
The effect of acute preoperative hemodilution on circulation, oxygen budget and blood coagulation has been studied in 54 patients with lung pathology and major vessel disease. With exfusion up to 20% circulating blood volume (CBV), circulatory changes were manifested in decreased vascular tone. With exfusion up to 25% CBV, an increase in cardiac output and a decrease in mean blood pressure were observed. O2 transport, consumption and utilization remained unchanged, with normalization of a so far enhanced blood coagulation.
对54例肺部疾病和大血管疾病患者研究了术前急性血液稀释对循环、氧平衡和血液凝固的影响。放血至循环血容量(CBV)的20%时,循环变化表现为血管张力降低。放血至CBV的25%时,观察到心输出量增加,平均血压降低。氧运输、消耗和利用保持不变,此前增强的血液凝固恢复正常。