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《Journal of Chengdu Medical College》 2011-01
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Application of ANH combined with CH in spinal operation

SHU Yun-bing1,SUN Guang-yun1,YANG Xiao-hui2,ZHOU Li-ping1,YAO Hong-lin3(1 The First People's Hospital of Yibin,Yibin 644000,China;2 The Third People's Hospital of Yibin,Yibin,Sichuan 644000,China;3 The Second People's Hospital of Yibin,Yibin,Sichuan 644000,China)  
Objective To observe the efficacy and safety of acute non-isovolemic hemodelutionacute(ANH) combined with controlled hypotention(CH) in patients of spinal operation.Methods 500~700ml blood was released form the patients through radial artery after anesthesia.Equivalent polyegline was infused through peripheral venous simultaneously.Controlling hypotention was used with regilin before skin incision.The controlling hypotention was stopped and blood refusion was started 25 min before finishing the operation.The changes of indicators,such as MAP,HR and blood loss,before operation,after blood-letting,after CH and before blood refusion were observed.Results MAP、Hb、Hct、Ph、FIB declined after blood-letting.Only MAP declined after CH compared with post-bloodletting.Hb,Hct,FIB declined before blood refusion.All index resumed normal before blood refusion.Blood lose reduced significantly compared with previous reviewed cases.Conclusion ANH and CH can significantly decrease blood loss,reduce blood transfusion and fully complete blood conservation.
【Fund】: 宜宾市科技局项目(项目编号:200803009)
【CateGory Index】: R614
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【Citations】
Chinese Journal Full-text Database 1 Hits
1 ZHENG Man1,ZHANG Ping1,ZHANG Yuan1,WANG Li-jun1,WANG Bin2,CHEN Zheng-xiang2 (1.Department of Anesthesiology,the Affiliated Drum Tower Hospital,Medical College of Nanjing University,Nanjing 210008,China;2.Department of Orthopedics,the Affiliated Drum Tower Hospital,Medical College of Nanjing University,Nanjing 210008,China);Application of acute normovolemic hemodilution in combination with controlled-hypotension and amidocaproic acid in scoliolosis-epithesis[J];Journal of Southeast University(Medical Science Edition);2007-05
【Secondary Citations】
Chinese Journal Full-text Database 1 Hits
1 ZHU Qian~1,ZHANG Ye~1,TIAN Ming~(1,*),et alDepartment of Anesthesiology,Beijing Friendship Hospital,Capital University of Medical Sciences,Beijing 100050,China;The effect of acute moderate normovolemic hemodilution on blood coagulation[J];International Journal of Anesthesiology and Resuscitation;2006-02
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