四川医学2017，Vol.38Issue(12)：1403-1406,4.DOI:10.16252/j.cnki.issn1004-0501-2017.12.013
控制性低中心静脉压联合急性高容性血液稀释在右半肝切除术中的应用
Application of Controlled Low Central Venous Pressure Combined with Acute Hypervolemic Hemodilution in Right Hemihepatectomy
摘要
Abstract
Objective To observe the effect of controlled low central venous pressure(CLCVP) combined with acute hypervolemic hemodilution(AHH) on the amount of hemorrhage in right hemihepatectomy and the effect of postoperative liver and renal function.Methods 60 patients undergoing right hemihepatectomy were randomly divided into three groups(n =20):hippocampal occlusion group(group A),CLCVP group(group B)and CLCVP combined with AHH group(group C).The vital signs,intraoperative fluid input,blood loss,erythrocyte suspension input,plasma input and urine output were recorded at different time.For all patients,6 mL of central venous blood were collected at 1 day,3 days and 7 days after operation to test liver function and renal function.Results Compared with group A,the blood loss of group B and group C was significantly lower(P ＜ 0.05);The transfusion amount of erythrocyte suspension and plasma in group C was significantly lower than that in group A and group B;Compared with group A and group B,the alanine aminotransferase (ALT)of group C recovered faster,and urea nitrogen(BUN)and creatinine (Cr) fluctuations were smaller.Condusion CLCVP combined with AHH can significantly reduce intraoperative blood loss and blood transfusion,and can protect liver and kidney function.关键词
控制性低中心静脉压(CLCVP)/急性高容性血液稀释(AHH)/右半肝切除术Key words
controlled low central venous pressure/acute hypervolemic hemodilution/right hemihepatectomy分类
医药卫生引用本文复制引用
盛博,张帮健,杨昶..控制性低中心静脉压联合急性高容性血液稀释在右半肝切除术中的应用[J].四川医学,2017,38(12):1403-1406,4.基金项目
攀枝花市科研基金项目(编号:2013CY-S-16-14) （编号:2013CY-S-16-14）
