Merikallio E
Ann Chir Gynaecol. 1976;65(2):138-44.
The effects of cardiopulmonary bypass haemodilution and a gelatine derivate for priming were evaluated by serial determinations of the acid-base and electrolyte balances, arterial oxygenation, urinary output, postoperative chest x-ray, cardiac rhythm and electrophoresis in 40 patients undergoing open heart surgery. It was noted that the priming solution used provided an excelllent buffer system to stabilize the derangements in acid-base and electrolyte balance without any side effects in oxygenation, urinary output, cardiac function or plasma proteins. The utilisation of haemodilution in cardiopulmonary bypass is discussed.
通过对40例接受心脏直视手术患者的酸碱及电解质平衡、动脉氧合、尿量、术后胸部X光、心律和电泳进行系列测定,评估了体外循环血液稀释和一种明胶衍生物预充液的效果。结果发现,所用的预充液提供了出色的缓冲系统,可稳定酸碱和电解质平衡紊乱,且对氧合、尿量、心脏功能或血浆蛋白无任何副作用。文中讨论了体外循环中血液稀释的应用。