[Doppler ultrasound results of hemodilution treatment].

L Heilmann, G F von Tempelhoff
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引用次数: 0

Abstract

In a double-blind study, 12 patients with an Hb > 13 g/dl in the second trimester, a pretherapeutic hematocrit > 38%, and a fetal aortal resistance index > 0.75 underwent hemodilution. The patients were given either 500 ml hydroxyethyl starch (HAES) or 500 ml NaCl 0.9%. In addition, all patients received 500 ml NaCl 0.9% by infusion. HAES therapy caused a lowering of the fetal aortal and uterine artery resistance indices. This was not the case with NaCl. The causes for this lie in the specific anti-aggregation and viscosity-reducing effect of hydroxyethyl starch with an identical lowering of hematocrit.

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[血液稀释治疗多普勒超声结果]。
在一项双盲研究中,12例妊娠中期Hb > 13 g/dl,治疗前红细胞压积> 38%,胎儿主动脉阻力指数> 0.75的患者进行了血液稀释。患者分别给予500 ml羟乙基淀粉(HAES)或500 ml 0.9% NaCl。此外,所有患者均输注0.9%氯化钠500 ml。HAES治疗可降低胎儿主动脉和子宫动脉阻力指数。而NaCl则不是这样。其原因在于羟乙基淀粉在降低红细胞压积的同时具有特殊的抗聚集和降粘作用。
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[Symposium on Uterine Contraction and Beginning of Labor. Aachen, September 1993]. [Uterine contraction and labor onset. Overview]. [Control of labor onset in the human]. [Biochemical principles of cervix ripening and dilatation]. [Role of the cervix uteri at labor onset from ultrasound studies].
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