Grundmann R, Meyer H
Chirurg. 1980 Sep;51(9):594-600.
Colloid osmotic pressure was measured pre- and postoperatively in 75 patients. It could be demonstrated that the level of the colloid osmotic pressure inaccurately corresponded to the serum protein concentration. This fact can be neglected in those patients that are infused for short-term periods. However, many patients receive large amounts of colloids during long-term parenteral nutrition and in those cases an abnormal increase of plasma volume has to be expected. This might be harmful to the cardiopulmonary function and can be avoided by infusing colloids according to the level of the colloid osmotic pressure.
对75例患者在术前和术后测量了胶体渗透压。结果表明，胶体渗透压水平与血清蛋白浓度并不精确对应。对于短期输液的患者，这一事实可以忽略不计。然而，许多患者在长期肠外营养期间会接受大量胶体，在这些情况下，必须预期血浆量会异常增加。这可能对心肺功能有害，通过根据胶体渗透压水平输注胶体可以避免这种情况。
