医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2014年
26期
71-71
,共1页
胶体渗透压%体外循环%羟乙基淀粉
膠體滲透壓%體外循環%羥乙基澱粉
효체삼투압%체외순배%간을기정분
目的：比较心脏瓣膜置换术体外循环期间血浆和羟乙基淀粉（双鹤药业）两者作为预充液维持体内血浆胶体渗透压（cop）的效果。方法：选择104例体外循环下心脏瓣膜置换术病例，分为血浆预充组（A组68例），羟乙基淀粉组（B组36例）。在体外循环启动后10min及30min 后分别测量A、B两组的COP值，并比较COP变化比值。结果：体外循环10min后两组cop均较麻醉后有所下降，与预充液cop呈正相关， B组cop 显著高于A组。结论：预充液cop维持较高水平（＞20 mmHg）可使患者体外循环时cop可达有效水平，且羟乙基淀粉预充维持cop较血浆更有优势。
目的：比較心髒瓣膜置換術體外循環期間血漿和羥乙基澱粉（雙鶴藥業）兩者作為預充液維持體內血漿膠體滲透壓（cop）的效果。方法：選擇104例體外循環下心髒瓣膜置換術病例，分為血漿預充組（A組68例），羥乙基澱粉組（B組36例）。在體外循環啟動後10min及30min 後分彆測量A、B兩組的COP值，併比較COP變化比值。結果：體外循環10min後兩組cop均較痳醉後有所下降，與預充液cop呈正相關， B組cop 顯著高于A組。結論：預充液cop維持較高水平（＞20 mmHg）可使患者體外循環時cop可達有效水平，且羥乙基澱粉預充維持cop較血漿更有優勢。
목적：비교심장판막치환술체외순배기간혈장화간을기정분（쌍학약업）량자작위예충액유지체내혈장효체삼투압（cop）적효과。방법：선택104례체외순배하심장판막치환술병례，분위혈장예충조（A조68례），간을기정분조（B조36례）。재체외순배계동후10min급30min 후분별측량A、B량조적COP치，병비교COP변화비치。결과：체외순배10min후량조cop균교마취후유소하강，여예충액cop정정상관， B조cop 현저고우A조。결론：예충액cop유지교고수평（＞20 mmHg）가사환자체외순배시cop가체유효수평，차간을기정분예충유지cop교혈장경유우세。
objective: to compare the cardiac valve replacement during extracorporeal circulation blood plasma and hydroxyethyl starch (double crane pharmaceutical) as liquid to maintain the effect of plasma col oid osmotic pressure (cop) in the body.Methods: choose 104 cases of heart valve replacement under extracorporeal circulation, divided into plasma prefi l ed group (group A68 cases, hydroxyethyl starch group (group B36 cases.In 10 min after extracorporeal circulation starts and 30 min after the COP value of A, B two groups were measured, and compare the COP change ratio.Results: two groups after extracorporeal circulation 10 min cop were decreased after anesthesia, positively correlated with charging the cop, B group had A significantly higher than that of group A cop.Conclusion: pre liquid cop to maintain higher levels (> 20 mmHg) can make the extracorporeal circulation in patients with cop can reach the level effectively, and hydroxyethyl starch prefi l ed keep cops have more advantages than plasma.
