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羟乙基淀粉作为体外循环预充液。

Hetastarch as a prime for cardiopulmonary bypass.

作者信息

Palanzo D A, Parr G V, Bull A P, Williams D R, O'Neill M J, Waldhausen J A

出版信息

Ann Thorac Surg. 1982 Dec;34(6):680-3. doi: 10.1016/s0003-4975(10)60908-3.

DOI:10.1016/s0003-4975(10)60908-3
PMID:6184024
Abstract

Hetastarch, a synthetic colloid osmotic plasma volume expander, was employed in a prime for cardiopulmonary bypass in 37 patients undergoing myocardial revascularization. Comparison of laboratory values to those of 42 patients undergoing myocardial revascularization using an albumin-containing prime showed lower postoperative platelet counts (p less than 0.02) with hetastarch. There were no differences in chest tube drainage, blood use, plasma hemoglobin, fibrinogen levels, of coagulation times. The hetastarch prime cost $119.50 per patient, whereas the albumin-containing prime cost $321.35 per patient.

摘要

羟乙基淀粉,一种合成的胶体渗透压血浆容量扩充剂,被用于37例接受心肌血运重建术患者的体外循环预充液中。将这些患者的实验室检查值与42例使用含白蛋白预充液进行心肌血运重建术患者的检查值相比较,结果显示使用羟乙基淀粉的患者术后血小板计数较低(p<0.02)。在胸管引流量、血液使用量、血浆血红蛋白、纤维蛋白原水平及凝血时间方面无差异。羟乙基淀粉预充液每位患者花费119.50美元,而含白蛋白预充液每位患者花费321.35美元。

相似文献

1
Hetastarch as a prime for cardiopulmonary bypass.羟乙基淀粉作为体外循环预充液。
Ann Thorac Surg. 1982 Dec;34(6):680-3. doi: 10.1016/s0003-4975(10)60908-3.
2
Hydroxyethyl starch versus albumin for colloid infusion following cardiopulmonary bypass in patients undergoing myocardial revascularization.在接受心肌血运重建的患者体外循环后,羟乙基淀粉与白蛋白用于胶体输注的比较。
Ann Thorac Surg. 1984 Jan;37(1):40-6. doi: 10.1016/s0003-4975(10)60707-2.
3
Clinical comparison of hetastarch and albumin in postoperative cardiac patients.羟乙基淀粉与白蛋白用于心脏术后患者的临床比较
Ann Thorac Surg. 1982 Dec;34(6):674-9. doi: 10.1016/s0003-4975(10)60907-1.
4
Comparison of hetastarch with albumin for postoperative volume expansion in children after cardiopulmonary bypass.在体外循环后的儿童中,羟乙基淀粉与白蛋白用于术后容量扩充的比较。
J Cardiothorac Vasc Anesth. 1996 Apr;10(3):348-51. doi: 10.1016/s1053-0770(96)80095-4.
5
Adding hetastarch to the adult cardiopulmonary bypass prime does not affect patient outcomes.在成人体外循环预充液中添加贺斯不会影响患者预后。
J Extra Corpor Technol. 1997 Mar;29(1):25-9.
6
Hemostatic effects of three colloid plasma substitutes for priming solution in cardiopulmonary bypass.三种胶体血浆代用品作为体外循环预充液的止血效果
Eur J Cardiothorac Surg. 1997 Apr;11(4):626-32. doi: 10.1016/s1010-7940(96)01059-7.
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Effects of hetastarch and albumin on coagulation in patients with septic shock.
J Clin Pharmacol. 1988 May;28(5):412-5. doi: 10.1002/j.1552-4604.1988.tb05751.x.
8
Comparison of low molecular weight hydroxyethyl starch and human albumin as priming solutions in children undergoing cardiac surgery.低分子量羟乙基淀粉与人血白蛋白作为心脏手术患儿预充液的比较
Perfusion. 2014 Sep;29(5):462-8. doi: 10.1177/0267659114528267. Epub 2014 Mar 21.
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A randomized clinical trial of 10% pentastarch (low molecular weight hydroxyethyl starch) versus 5% albumin for plasma volume expansion after cardiac operations.一项关于10% 喷他淀粉(低分子量羟乙基淀粉)与5% 白蛋白用于心脏手术后血浆容量扩充的随机临床试验。
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A prospective randomized study of hydroxyethyl starch, albumin, and lactated Ringer's solution as priming fluid for cardiopulmonary bypass.一项关于羟乙基淀粉、白蛋白和乳酸林格氏液作为体外循环预充液的前瞻性随机研究。
J Thorac Cardiovasc Surg. 1985 May;89(5):713-22.

引用本文的文献

1
The impact of hydroxyethyl starches in cardiac surgery: a meta-analysis.羟乙基淀粉在心脏手术中的影响:一项荟萃分析。
Crit Care. 2014 Dec 4;18(6):656. doi: 10.1186/s13054-014-0656-0.
2
Fluid management: the pharmacoeconomic dimension.液体管理:药物经济学层面
Crit Care. 2000;4 Suppl 2(Suppl 2):S33-5. doi: 10.1186/cc969. Epub 2000 Oct 13.
3
A comparison between 25% albumin and 6% hydroxyethyl starch solutions on lung water accumulation during and immediately after cardiopulmonary bypass.25%白蛋白溶液与6%羟乙基淀粉溶液在体外循环期间及术后即刻对肺水积聚影响的比较
Ann Surg. 1987 Aug;206(2):210-3. doi: 10.1097/00000658-198708000-00015.
4
Blood and plasma substitutes--plasma expansion and oxygen transport properties.血液及血浆代用品——血浆扩容及氧运输特性
West J Med. 1985 Aug;143(2):202-6.
5
Use of plasma volume expanders in myocardial revascularisation.血浆容量扩充剂在心肌血运重建中的应用。
Drugs. 1992 Nov;44(5):720-7. doi: 10.2165/00003495-199244050-00004.