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使用简化伊文思蓝法估算重症婴幼儿的血浆容量

Plasma volume estimation in severely ill infants and children using a simplified Evans blue method.

作者信息

Linderkamp O, Mader T, Butenandt O, Riegel K P

出版信息

Eur J Pediatr. 1977 Jun 1;125(2):135-41. doi: 10.1007/BF00489986.

DOI:10.1007/BF00489986
PMID:872835
Abstract

Plasma volume was measured using Evans blue dye and 125iodinated human serum albumin (RIHSA) simultaneously in order to evaluate the accuracy of a simplified Evans blue method recommended by Nielsen and Nielsen (1962). 9 studies were performed in 8 newborn infants weighing 1.07 to 2.85 kg and 16 studies in 14 patients aged 6 months to 14 years suffering from severe circulatory disturbances. In 20 studies, plasma volumes measured by Evans blue and by RIHSA agreed within +/-5%, and in all the studies within +/-10%. The Evans blue method yielded higher plasma volumes than the RIHSA method in 19 instances. The mean difference (paired t-test) was only significant in newborn infants (+4.0+/-3.6%; P less than 0.05). The disappearance rates of Evans blue exceeded that of RIHSA in 16 studies, but this was only significant in the patients older than 6 months (+2.3+/-4.2%/h; P less than 0.05).

摘要

为评估Nielsen和Nielsen(1962年)推荐的简化伊文思蓝方法的准确性,同时使用伊文思蓝染料和125碘标记的人血清白蛋白(RIHSA)测量血浆容量。对8名体重1.07至2.85千克的新生儿进行了9项研究,对14名年龄在6个月至14岁、患有严重循环障碍的患者进行了16项研究。在20项研究中,用伊文思蓝和RIHSA测量的血浆容量在±5%范围内一致,在所有研究中在±10%范围内一致。在19例中,伊文思蓝方法得出的血浆容量高于RIHSA方法。平均差异(配对t检验)仅在新生儿中显著(+4.0±3.6%;P<0.05)。在16项研究中,伊文思蓝的消失率超过了RIHSA,但这仅在6个月以上的患者中显著(+2.3±4.2%/小时;P<0.05)。

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