中度急性等容血液稀釋加回收式自體輸血(參考版)
2024-10-04 13:41本頁面
【正文】 121:689–96.內(nèi)容總結(jié)
（1）中度急性等容血液稀釋加回收式自體輸血
對(duì)非體外循環(huán)冠狀動(dòng)脈旁路移植術(shù)病人的血液保護(hù)
尹燕偉 于文剛
【摘要】 目的 觀察急性等容血液稀釋（ANH）聯(lián)合回收式自體輸血對(duì)非體外循環(huán)冠狀動(dòng)脈旁路移植術(shù)（OPCAB）病人血液保護(hù)的臨床效果
（2）兩組手術(shù)均為同一手術(shù)醫(yī)師完成，手術(shù)時(shí)間無顯著差異
（3）121:689–96.
。108:231–9.11. Ickx BE, Rigolet M, Van der Linden PJ. Cardiovascular and metabolic response to acute normovolemic anemia. Anesthesiology 2000。93:1174–83.9. Noldge GF, Priebe HJ, Geiger K. Splanchnic hemodynamics and oxygen supply during acute normovolemic hemodilution alone and with isofluraneinduced hypotension in the anesthetized pig. Anesth Analg 1992。125:797–808. blood transfution:evalution of an alternative strategy in reducing exposure to allogeneic blood Invest,1995,24:435441. RE,Rosengarl TK,Gomez M,et multimodality blood conservation:100 consecutive CABG operations with Thorac Surg,1998,65:125136.7. Leone BJ, Spahn DR. Anemia, hemodilution, and oxygen Analg 1992。68:1640–3.3. Ascione R, Williams S, Lloyd CT, et al. Reduced postoperative blood loss and transfusion requirement after beatingheart coronary operations: a prospective randomized study. J Thorac Cardiovasc Surg 2001?？傊?，急性等容血液稀釋聯(lián)合回收式自體輸血能降低非冠狀動(dòng)脈旁路移植術(shù)病人異體血的輸注，降低術(shù)中及術(shù)后出血。本研究中采血時(shí)輸注膠體液加晶體液（1：1），以稀釋后Hb115g/L,Hct34％為原則，兩組病人均沒有發(fā)現(xiàn)心肌缺血和心衰的征象，無肺部和神經(jīng)系統(tǒng)后遺癥。ANH組有11例未輸異體血，而對(duì)照組只有2例，說明ANH對(duì)減少異體血的輸注有顯著的意義。術(shù)中使用綜合性血液保護(hù)措施可使病人減少或免于輸注異體血的危險(xiǎn)［56］。回收式自體輸血是將術(shù)野的失血
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