军医进修学院学报2012，Vol.33Issue(5)：482-484,3.
控制性低中心静脉压技术在精准肝切除术中的应用
Application of controlled low central venous pressure in precision liver resection
冯龙 1冯泽国 1蔡守旺 2董家鸿 2张宏1
作者信息
- 1. 解放军总医院麻醉科,北京100853
- 2. 解放军总医院肝胆外科,北京100853
- 折叠
摘要
Abstract
Objective To assess the effect of controlled low central venous pressure(CLCVP) on blood loss and renal function during precision liver resection. Methods Fifty patients were randomly divided into LCVP group(n=25)and control group(n=25). The patients underwent LCVP under venous and inhalation anesthesia, during which their central venous pressure(CVP) and invasive blood pressure were continuously monitored. The CVP of patients in LCVP group was controlled below 4mmHg from the beginning of anesthesia to the resection of lesions and hemostasis by limiting the fluid infusion, raising the head to 10°-1S°, inhaling isoflurane and/or continuously pumping nitroglycerin at 0.1-2 μ g/kg. min. The CVP of patients in control group was maintained at the normal range. Blood loss and blood transfusion were measured during operation. Creatinine(Cr) and blood urea nitrogen(BUN) in venous blood sample were detected before and 24h after operation. Results The blood loss was lower in LCVP group than in control group ((342.3 ± 208.2)ml vs (648.4 ± 381.2)ml, P<0.05). No significant difference was found in renal function between the two groups before and after operation(P>0.05). Conclusion Application of LCVP in precision liver resection can significantly reduce blood loss during operation with no remarkable effect on renal function.关键词
麻醉/控制性低中心静脉压/精准肝切除/肝脏Key words
anesthesia/ controlled low central venous pressure/ precision hepatectong/ liver分类
临床医学引用本文复制引用
冯龙,冯泽国,蔡守旺,董家鸿,张宏..控制性低中心静脉压技术在精准肝切除术中的应用[J].军医进修学院学报,2012,33(5):482-484,3.
