海脉素在全子宫切除术中的临床应用  

Clinical Application of Haemaccel in Panhysterectomy

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作  者:徐金妹 

机构地区:[1]上海市闵行区中心医院麻醉科,201100

出  处:《医学理论与实践》2001年第5期400-401,共2页The Journal of Medical Theory and Practice

摘  要:目的:探讨海脉素的临床作用,减少术中异体血液或血浆制品的用量。方法:50例全子宫切除病人,失血量在225±132mL,术中输入乳酸钠林格氏液500mL后开始输入海脉素500~1000mL,观察其血流动力学变化。结果:BP、HR、sPO_2、RBC、PLT、HB与术前相比虽有下降,但无明显变化(P>0.05)。结论:海脉素能够维持正常的血流动力学,避免心功能干扰,维持正常的氧供和氧耗,又可节约血源,避免由输血引起各种血源性传染性疾病。海脉素是一种理想的改善机体循环功能的血浆代用品。Objective: To study clinical effect of haemaccel and reduce dosage of blood and blood products in operation. Methods: In 50 cases of panhysterectomy with blood loss at 225 ± 132mL, 500 - 1000mL haemaccel was transfused after transfusion of 500mL sodium loc-tate Ringer's solution and changes of hemodynamics was observed. Results :BP, HR, sPO2 RBC, HB, PLT compared to that before operations have on dominant change, P >0.05. Conclusion:Transfusion of haemaccel can sustain normal hemodynamics, avoid disturbance to cardial function and maintain normal oxygen supply and consumption. It can save blood and avoid all sorts of hematogenous dissemina- tion due to blood transfusion. It is an ideal plasma substitute to improve circulatory function.

关 键 词:全子宫切除术 血浆代用品 海脉素 

分 类 号:R713.42[医药卫生—妇产科学]

 

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