快速静脉输注5%果糖和/或葡萄糖后酸碱平衡、血糖、电解质及呼气末二氧化碳分压的变化
Variation of acid-base balance, glycemia, electrolytes and ETCO2 after fast i.v. infusion of 5% fructose and/or glucose.
作者信息
Tellan G, Iannarone C, Fegiz A, Baumgartner I, Maselli A M, Fantera A
机构信息
Insegnamento di Anestesiologia e Rianimazione, Università degli Studi La Sapienza, Roma, Italy.
出版信息
Eur Rev Med Pharmacol Sci. 1997 Sep-Oct;1(5):161-5.
Intraoperative fluid infusion has precise goals and the rapid infusion of some solutions can induce important modifications of homeostatic parameters, which must be known. Rapid infusion of fructose and glucose 5% solutions has been carried out and modifications of acid-base balance, glycemia, serum electrolytes, ETCO2 have been registered. The administration of fructose 5% determines a mixed acidosis while the administration of glucose does not cause this phenomenon; the administration of both carbohydrates reduces serum chloride and sodium, while serum potassium rises only after fructose infusion and glycemia only after glucose infusion. All the variations described reach significant levels.
术中液体输注有精确的目标，快速输注某些溶液可引起体内稳态参数的重要改变，必须对此有所了解。已进行了5%果糖溶液和葡萄糖溶液的快速输注，并记录了酸碱平衡、血糖、血清电解质、呼气末二氧化碳分压（ETCO2）的变化。输注5%果糖会导致混合性酸中毒，而输注葡萄糖不会引起这种现象；两种碳水化合物的输注都会降低血清氯和钠，而血清钾仅在输注果糖后升高，血糖仅在输注葡萄糖后升高。上述所有变化均达到显著水平。
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