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6%羟乙基淀粉急性等容血液稀释对体外循环心内直视手术患者氧合和肺水肿的影响

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摘要 体外循环(CPB)心脏直视手术中因大量失血常需要进行异体输血,急性等容血液稀释(ANH)能够减少手术出血,降低异体输血率已得到国内外许多学者的认可。但有研究表明,血液稀释在心脏外科手术CPB过程中,不但不能降低老年、婴儿和新生儿患者的病死率,而且能够引起血管活性物质释放、免疫反应和炎症反应。几乎所有接受CPB手术的患者,术后均有不同程度的肺损伤。本研究的目的是观察6%羟乙基淀粉对CPB心内直视换瓣手术患者实施ANH氧合和肺功能以及降低手术对异体血液或血液制品需求的影响。
机构地区 台州医院麻醉科
出处 《浙江医学》 CAS 2010年第3期388-390,共3页 Zhejiang Medical Journal
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