乳酸林格液输注对患者手术中酸碱平衡的影响被引量：3

Effects of infusion with Lactated Ringers solution on acid-base balance during operation

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摘要目的比较手术中输注复方氯化钠注射液(RS)和乳酸林格注射液(LR)对酸碱平衡的影响。方法全麻手术患者30例,分为RS和LR组,两组均入室后至切皮前静脉输入RS和LR,补充手术前缺失量,手术开始后两组均以10ml/(kg.h)输入维持量(晶体∶胶体=1∶1),当晶体输入1500ml时候,采动脉血进行血气分析。结果输入液体后两组电解质和pH无明显差异(P>0.05),RS组碱剩余(BE)负值较LR组大(P<0.01)。结论外科手术中输注乳酸林格液对于防治手术中酸中毒优于复方氯化钠。 Objective To compare the effects of infusing Ringers solution （RS） and Lactated Ringers solution （LR） on acid - base balance during operation. Methods 30 adult patients were divided into RS group and LR group. LR and RS were adiministered in the two groups of patient to supplement the lost body fluid before the operation. RS and LR were administered in the patients of both groups at the rate of 10ml/kg,/hr. The blood gas, electrolytes were monitored before the anesthesia and after infusing 1500ml LR or RS. Results The PH value and electrolytes had no significant difference after infusion of RS group and LR group （ P 〉 0.05）, while BE value of LR group were lower than that of group RS （ P 〈 0.01 ）. Conclusion LR is better than RS used for maintain acid - base balance during operation.

作者海克蓉刘红屈伸

机构地区宁夏医学院宁夏医学院附属医院

出处《宁夏医学杂志》 CAS 2007年第7期597-598,共2页 Ningxia Medical Journal

关键词麻醉乳酸林格液酸碱平衡 Anesthesia Lactated Ringers solution Acid - base balance

分类号 R619 [医药卫生—外科学]

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参考文献8

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