冲洗体外循环系统是节约血液的简单方法

F. Bechet, J.-P. Mazzucotelli, J.-C. Kempf, P. Sommer, C. Gantner, D. Maier, P. Lobreau, M. Kindo, P. Billaud, D. Carranza, C. Gomes, L. Fleury, F. Lévy, H. Gros, B. Eisenmann.
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引用次数: 0

摘要

本研究的目的是评估在心脏手术结束时用生理溶液冲洗体外循环回路后保存的血容量。冲洗电路组患者(n = 219)的血容量大于对照组(n = 184),分别为733±204 ml和585±187 ml(差异:148 ml, p <0.001)。手术中有血液滤过的患者效果最好(差异:244ml, p <0.001)和因瓣膜疾病手术的患者(差异:20 ml, p <0.001)。冠心病患者的差异较低,但有统计学意义(76 ml, p = 0.025)。
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Rinçage du circuit de circulation extracorporelle un moyen simple d'économie de sang

The aim of this study was to evaluate the blood volume saved after rinsing of the circuit of extracorporeal circulation with a physiologic solution at the end of cardiac operations. The blood volume saved in patients in whom the circuit was rinsed (n = 219), was greater than in control group (n = 184), respectively, 733 ± 204 ml and 585 ± 187 ml (difference: 148 ml, p < 0.001). The best results were obtained in patients who had haemofiltration during surgery (difference: 244 ml, p < 0.001) and in patients operated for valvular disease (difference: 20 ml, p < 0.001). In patients with coronary disease the difference was lower but statistically significant (76 ml, p = 0.025).

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