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一种量化细胞外液和血浆成分丢失的简易临床方法。

A simple clinical approach to quantifying losses from the extracellular and plasma compartments.

作者信息

Robarts W M, Parkin J V, Hobsley M

出版信息

Ann R Coll Surg Engl. 1979 Mar;61(2):142-5.

Abstract

It is possible to estimate the category and volume of lost liquid in patients who have become acutely depleted of body fluids by measuring the haematocrit and plasma protein concentration in venous blood samples. Three recent examples of different categories of loss are presented: plasma loss in pancreatitis, extracellular fluid (saline) loss in paralytic ileus, and mixed plasma and extracellular fluid loss in peritonitis complicating acute appendicitis. Goood clinical results were achieved by infusion of appropriate volumes of either plasma or saline so as to restore the haematocrit and plasma protein concentration to their presumptive basal values.

摘要

通过测量静脉血样本中的血细胞比容和血浆蛋白浓度,有可能估计那些体液已急性丧失的患者丧失液体的类别和量。本文给出了近期不同类别液体丧失的三个例子:胰腺炎时的血浆丧失、麻痹性肠梗阻时的细胞外液(盐水)丧失,以及急性阑尾炎并发腹膜炎时的血浆和细胞外液混合丧失。通过输注适量的血浆或盐水,使血细胞比容和血浆蛋白浓度恢复到假定的基础值,取得了良好的临床效果。

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