SHOCK AND RESUSCITATION .3. ACCURATE REFRACTOMETRIC COP DETERMINATIONS IN HYPOVOLEMIA TREATED WITH HALFD

被引：12

作者：

JELENKO, C

SOLENBERGER, RI

WHEELER, ML

CALLAWAY, BD

机构：

[1] Departments of Community Medicine (Emergency Medicine Group) and Surgery, Wright State University School of Medicine, Dayton, OH

[2] the Department of Surgery, Medical College of Georgia, Augusta, GA

来源：

JACEP-JOURNAL OF THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS | 1979年 / 8卷 / 07期

关键词：

HALFD regimen; hypovolemia; fluid therapy; shock; resuscitation; shock resuscitation;

D O I：

10.1016/S0361-1124(79)80218-X

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

In 38 critically burned patients with symptomatic hypovolemia being treated by intravenous fluids, the accuracy of colloid oncotic pressure (COP) calculated from the refractometrically-determined serum total protein (TPRI) was compared with COP values determined by a commercially-available clinical oncometer. Sera were obtained randomly from seven patients receiving Ringer's lactate solution, five receiving a hypertonic solution (240 mOsm Na+) and 26 receiving a hypertonic solution containing albumin (12.5 gm/liter, HALFD method). There was poor correlation between COP measure and that calculated from RI in patients receiving colloid-free fluid, but high correlation (r=0.925) in patients receiving HALFD. There was high correlation (r=0.951) between measured COP and values calculated from TPRI in patients receiving hypertonic fluid, colloid-containing hypertonic fluid, or no fluid:COP = 4.08 (TPRI) - 4.61. © 1979 American college of Emergence Physicians.

引用

页码：253 / 256

页数：4