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[肝硬化腹水抽吸及回输的循环和呼吸效应。关于采用该方法治疗的14次腹水发作]

[Circulatory and respiratory effects of aspiration and reinfusion of ascites in cirrhosis. Apropos of 14 ascitic attacks treated by this method].

作者信息

Jardin F, Le Bras P, Cassan P, Blanchet F, Dupuy P

出版信息

Ann Med Interne (Paris). 1979;130(2):81-5.

PMID:434719
Abstract

Aspiration and replacement of ascites in 14 patients with cirrhosis was carried out using a Rhodiascit (Rhône-Poulenc) apparatus. Hemodynamic studies were used to evaluate the effects of this therapy on circulatory and respiratory parameters. Results showed that the hemodynamic tolerance of the treatment, which produces a slow increase in blood volume, was excellent as there was an increase in the cardiac index without raising the pressure under which replacement was made. Futhermore, no adverse effects on blood respiratory functions were noted in these patients who had blood hypoxia before treatment, but the removal of ascitic fluid produced no improvement in arterial gasometric parameters which is contrary to what one would expect.

摘要

使用罗地亚腹水抽吸装置(罗纳-普朗克公司生产)对14例肝硬化患者进行腹水抽吸和置换。采用血流动力学研究来评估该疗法对循环和呼吸参数的影响。结果显示,该治疗可使血容量缓慢增加,其血流动力学耐受性良好,因为心指数增加,而置换时的压力并未升高。此外,在这些治疗前存在血液缺氧的患者中,未观察到对血液呼吸功能的不良影响,但腹水清除后动脉血气参数并未改善,这与预期相反。

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