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同位素研究在临床休克中的应用及局限性

The use and limitations of isotope studies in clinical shock.

作者信息

Vickers M D

出版信息

Postgrad Med J. 1969 Aug;45(526):503-5. doi: 10.1136/pgmj.45.526.503.

DOI:10.1136/pgmj.45.526.503
PMID:4898865
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2466882/
Abstract

Blood volume measurements can only be of value in the treatment of clinical shock if the results are obtained quickly. In a changing situation, such as continuing haemorrhage, erroneous conclusions are inevitable. Assumptions which are commonly made concerning tracer loss rates and mixing rates may be invalid. Semi-automated machines can introduce new sources of error. The measurement of blood volume should be regarded as an aid to assessing the relative contributions of intravascular volume and vascular tone to the resulting intravascular pressures.

摘要

只有快速得出结果,血容量测量在临床休克治疗中才会有价值。在不断变化的情况下,如持续出血,错误的结论不可避免。关于示踪剂损失率和混合率的常见假设可能无效。半自动仪器可能会引入新的误差来源。血容量测量应被视为一种辅助手段,用于评估血管内容量和血管张力对所产生的血管内压力的相对贡献。

相似文献

1
The use and limitations of isotope studies in clinical shock.同位素研究在临床休克中的应用及局限性
Postgrad Med J. 1969 Aug;45(526):503-5. doi: 10.1136/pgmj.45.526.503.
2
Central venous pressure and blood volume determinations in clinical shock.临床休克中中心静脉压及血容量的测定
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Acta Chir Scand Suppl. 1966;357:136-7.
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本文引用的文献

1
BLOOD VOLUME IN CLINICAL SHOCK. I. MIXING TIME AND DISAPPEARANCE RATE OF T-1824 IN NORMAL SUBJECTS AND IN PATIENTS IN SHOCK; DETERMINATION OF PLASMA VOLUME IN MAN FROM 10-MINUTE SAMPLE.临床休克中的血容量。I. 正常受试者和休克患者中T-1824的混合时间和消失率;通过10分钟样本测定人体血浆容量。
J Clin Invest. 1946 Mar;25(2):158-71. doi: 10.1172/JCI101695.
2
FLUID REPLETION IN CIRCULATORY SHOCK: CENTRAL VENOUS PRESSURE AND OTHER PRACTICAL GUIDES.循环休克中的液体补充:中心静脉压及其他实用指南
JAMA. 1965 May 24;192:668-74. doi: 10.1001/jama.1965.03080210012003.
3
VASODILATOR THERAPY IN ACUTE HEMORRHAGIC SHOCK.急性失血性休克中的血管扩张剂治疗
Circ Res. 1965 Jan;16:58-64. doi: 10.1161/01.res.16.1.58.
4
RED CELL AND PLASMA VOLUME ALTERATIONS AFTER HEMORRHAGE AND TRAUMA.出血和创伤后红细胞及血浆容量的改变
Ann Surg. 1964 Aug;160(2):263-74. doi: 10.1097/00000658-196408000-00014.
5
SIMULTANEOUS DETERMINATION OF RED CELL MASS AND PLASMA VOLUME WITH CR51 AND I131 USING A PULSE HEIGHT ANALYZER.使用脉冲高度分析仪通过铬51和碘131同时测定红细胞容量和血浆容量。
Ann Surg. 1963 Aug;158(2):309-18. doi: 10.1097/00000658-196308000-00026.
6
The effect of cyclopropane and halothane on the blood volume in man.环丙烷和氟烷对人体血容量的影响。
Anesthesiology. 1962 Nov-Dec;23:828-30. doi: 10.1097/00000542-196211000-00013.
7
Refractory hypotension in man--is this irreversible shock?人类难治性低血压——这是不可逆休克吗?
N Engl J Med. 1962 Oct 11;267:733-42. doi: 10.1056/NEJM196210112671501.
8
Evaluation of blood volume measurement techniques.血容量测量技术的评估
Circ Res. 1961 Jan;9:60-8. doi: 10.1161/01.res.9.1.60.
9
Hematocrit ratio of blood within mammalian kidney and its significance for renal hemodynamics.哺乳动物肾脏内血液的血细胞比容及其对肾血流动力学的意义。
Am J Physiol. 1956 May;185(2):377-90. doi: 10.1152/ajplegacy.1956.185.2.377.
10
Further observations on the distribution of red cells and plasma in disease; the low body haematocrit: venous haematocrit ratio.关于疾病中红细胞和血浆分布的进一步观察;低身体血细胞比容:静脉血细胞比容比值。
Clin Sci. 1955 Aug;14(3):501-7.