Konopada W
Zentralbl Gynakol. 1984;106(10):660-5.
Report about clinical experiences in a series of 50 women (primipara and multipara aged 21 to 41 years) with hemodilution on the occasion of caesarean section. 40 patients similar in age and diagnoses were selected as a control group. In the latter one caesarean section was done traditionally without hemodilution. In the test group blood was removed before operation in the course of anesthesia. Then the removed blood was substituted by dextrane 40 (1,5 g per kg body weight, minimally 500 ml) in such a way, that hematocrit reaches 32 to 30 per cent. After hemodilution, partly when only 66 per cent of dextrane was infused, caesarean section was done. The initially removed portion of blood was reinfused when hemostasis was completed and the uterine wall contracted and sutured. Blood values, hematocrit, protein content, acid-base-status were tested repeatedly from the beginning till the end of the operation. Apgar values demonstrated high vitality of the newborns. Using hemodilution in caesarean section has many advantages, as well for the pregnant women as well for the obstetrician.
关于50名年龄在21至41岁之间（初产妇和经产妇）剖宫产术中进行血液稀释的临床经验报告。选择40名年龄和诊断相似的患者作为对照组。在对照组中，剖宫产术按传统方式进行，不进行血液稀释。在试验组中，在麻醉过程中于手术前采血。然后用右旋糖酐40（每公斤体重1.5克，最少500毫升）替代所采血液，以使血细胞比容达到32%至30%。血液稀释后，部分情况是在仅输注66%的右旋糖酐时进行剖宫产术。当止血完成且子宫壁收缩并缝合后，回输最初采集的那部分血液。从手术开始到结束反复检测血液值、血细胞比容、蛋白质含量、酸碱状态。阿氏评分显示新生儿活力良好。剖宫产术中采用血液稀释对孕妇和产科医生都有诸多益处。
