Fisher M
Br J Anaesth. 1977 Oct;49(10):1023-6. doi: 10.1093/bja/49.10.1023.
In seven patients who suffered anaphylactic cardiovascular collapse during anaesthesia the degree of haemoconcentration was used to assess changes in blood volume. The patients who were resuscitated with electrolyte solutions, or electrolyte solutions with a small volume of colloid, showed haemoconcentration suggesting plasma loss of 20.2-37%. Patients who were resuscitated initially with colloid solutions showed minimal haemoconcentration. In anaphylactic cardiovascular collapse, the reduction of blood volume is a result of loss of plasma and colloid solutions should be used to replace the volume deficit.
在七名麻醉期间发生过敏性心血管虚脱的患者中，血液浓缩程度被用于评估血容量的变化。用电解质溶液或少量胶体的电解质溶液进行复苏的患者出现血液浓缩，提示血浆丢失20.2%-37%。最初用胶体溶液进行复苏的患者血液浓缩程度最小。在过敏性心血管虚脱中，血容量减少是血浆丢失的结果，应使用胶体溶液来补充容量不足。
