|本期目录/Table of Contents|

[1]袁从虎,张亚军,钱静,等.急性等容血液稀释对体外循环术后凝血功能的影响[J].国际心血管病杂志,2016,04:243-245,250.
 YUAN Conghu,ZHANG Yajun,QIAN Jing,et al.Effects of acute normovolemic hemodilution on the coagulation function after cardiopulmonary bypass[J].International Journal of Cardiovascular Disease,2016,04:243-245,250.
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急性等容血液稀释对体外循环术后凝血功能的影响(PDF)

《国际心血管病杂志》[ISSN:1006-6977/CN:61-1281/TN]

期数:
2016年04期
页码:
243-245,250
栏目:
临床研究
出版日期:
2016-07-20

文章信息/Info

Title:
Effects of acute normovolemic hemodilution on the coagulation function after cardiopulmonary bypass
作者:
袁从虎张亚军钱静宋建祥于广东
224000 盐城市第三人民医院麻醉科(袁从虎,钱 静,于广东); 心胸外科(张亚军,宋建祥)
Author(s):
YUAN Conghu1 ZHANG Yajun2 QIAN Jing1 SONG Jianxiang2 YU Guangdong1.
1.Department of Anesthesiology,2.Department of Cardiac Surgery, the Third People's Hospital of Yancheng, Jiangsu 224000, China.
关键词:
急性等容血液稀释体外循环术凝血功能红细胞压积
Keywords:
Acute normovolemic hemodilution Cardiopulmonary bypass Coagulation function Hematocrit
分类号:
-
DOI:
10.3969/j.issn.1673-6583.2016.04.015
文献标识码:
-
摘要:
目的:探讨急性等容血液稀释(ANH)对体外循环下心脏直视手术患者凝血功能的影响。方法:选择在体外循环下行心脏直视手术的患者64例,随机分为ANH组(n=30)和非ANH组(n=34),观察两组患者手术前后凝血功能和血常规指标,并记录术中出血量及输液量。结果:与术前相比,两组患者术后凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、凝血酶时间(TT)均较术前明显延长,纤维蛋白原(FIB)、血小板计数(PLT)、血红蛋白(Hb)和红细胞压积(Hct)均较术前明显降低,但两组间
Abstract:
Objective:To investigate the effects of acute normovolemic hemodilution(ANH)on the coagulation function in patients undergoing open heart surgery under cardiopulmonary bypass(CPB).Methods:Sixty-four patients scheduled for CPB were randomly divided into tw

参考文献/References

[1] 谭冠先. 急性等容血液稀释对生理的影响[J].医学文选,2002, 21(4): 532-535.
[2] Grant MC, Resar LM, Frank SM. The efficacy and utiligy of acute normovolemic hemodilution [J]. Anesth Analg, 2015, 121(6):1412-1414.
[3] Zhou X, Zhang C, Wang Y, et al. Preoperative acute normovolemic hemodilution for minimizing allogeneic blood transfusion: a meta-analysis [J]. Anesth Analg, 2015, 121(6):1443-1455.
[4] Cross JB. Estimating allowable blood loss corrected for dilution [J]. Anesthesiology, 1983,58(3):227.
[5] Goldberg J, Paugh TA, Dickinson TA, et al. Greater volume of acute normovolemic hemodilution may aid in reducing blood transfusions after cardiac surgery [J]. Ann Thorac Surg, 2015, 100(5):1581-1587.
[6] Maithel SK, Jarnagin WR. Adjuncts to liver surgery is acute normovolemic hemodilution useful for major hepatic resections? [J]. Adv Surg, 2009, 43(2):259-268.
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[8] Jones SB, Whitten CW, Despotis GJ, et al. The influence of crystalloid and colloid replacement solutions in acute normovolemic hemodilution: a preliminary survey of hemostatic markers [J]. Anesth Analg, 2003, 96(2): 363-368.
[9] 王 庚,吴新民. 急性等容性血液稀释与凝血状态 [J].中华麻醉学杂志,2001,21(11): 645-648.
[10] 谭冠先,刘敬臣,黎乐群,等. 中度急性等容血液稀释用于肝癌切除术对凝血功能的影响 [J].广西医学,2003,25(3): 371-373.
[11] Joubert KE. Acute normovolaemic haemodilution—is it a solution to reduce perioperative blood transfusions? [J]. J S Afr Vet Assoc, 2007, 78(4):188-194.

备注/Memo

备注/Memo:
基金项目:江苏省盐城市医学科技发展计划项目(YK2011104) 作者单位:224000 盐城市第三人民医院麻醉科(袁从虎,钱 静,于广东); 心胸外科(张亚军,宋建祥) 通信作者:宋建祥,Email: sjx203252@163.com
更新日期/Last Update: 2016-07-20