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1. 重庆医科大学附属第一医院麻醉科
2. 重庆医科大学附属第一医院麻醉科,重庆,400016
纸质出版日期:2006,
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[1]刘丹彦,李伦旭,曹宇,闵苏.围术期输注羟乙基淀粉对凝血-纤溶动态平衡的影响[J].重庆医科大学学报,2006(04):582-584+603.
Liu Danyan, et al. Influence of HES on coagulation-fibrinolysis system during perioperative stage[J]. Journal of Chongqing Medical University, 2006,(4):582-584.
目的:考察贺斯在围术期对凝血-纤溶系统的影响。方法:选择ASA I~II级的择期手术患者34例随机分为两组。经静脉分别输注贺斯1000ml或乳酸林格氏液(以下简称平衡液)1000ml
速度为25ml/Kg/h
然后用乳酸林格氏液500ml/h维持。测定病人的凝血酶活性(F.IIa)、纤溶酶原活性(Plg)。采用凝血-纤溶动态图仪测定其曲线的上升斜率(简称上斜)、下降斜率(简称下斜)及参数凝固启动时间(CST)、最大凝固时间(MCT)、完全纤溶时间(WFT)、平衡时间(BLT)、最大凝固程度(MCE)。结果:纤溶酶原活性、凝血酶活性分别在输注完即刻或输注完2h表现为逐渐下降
但同组不同时点的比较无差异显著性(P>0.05)
两组间同时点的比较亦无差异显著性(P>0.05)。两组病人围术期凝血-纤溶动态平衡各参数输注前与输注后各时点比较均无差异显著性(P>0.05)。结论:围术期快速输注贺斯1000ml
在扩容的同时
对凝血-纤溶系统的影响轻微
无过敏样反应发生
在围术斯可以安全的应用。
Objective: To observe the influence of HES on coagulation-fibrinolysis system during perioperative stage.Methods: 34 I~II grade ASA patients were randomly selected and divided into two groups.Group A(n=18) was transfused 1000ml HES
group B(n=16) transfused with 1000ml of equilibrium liquid 1000ml
both at the rate of 25ml/Kg /h
then both transfused with equilibrium liquid at the rate of 500ml/hr.coagulation-fibrinolysis parameters of coagulation starting time(CST)
maximum coagulation time(MCT)
the whole time of fibrinolysis reaction(WFT)
the balance time(BLT)
maximum extent of coagulation(MCE) were measured by dynamicgraphy instrument(CFD-III).Blood plasma thrombin
F.IIa and Plasminogen
Plg were measured at the preoperation
the end of transfuse of 1000ml of liquor instantly and 2 hr later
respectively.Results: F.IIa and Plg in two groups decreased
but no significant difference was found a many different time paints in the serve group(P>0.05) The companrison at the same time paint showed no significant difference between two groups(P>0.05).Conclusion : Transfuse of 1000ml HES at perioperative stage could proliferate blood volume
and have mild influence on coagulation-fibrinolysis system without anaphylactoid reaction.It could be safely used at perioperative stage.
贺斯血液凝固纤维蛋白溶解围术期
PerioperationCoagulationFibrinolysisHES
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