HEMODILUTION - NEW CLOTHES FOR AN ANEMIC EMPEROR

被引:35
作者
LUNDSGAARDHANSEN, P
机构
[1] University Department of Experimental Surgery, Inselspital, Berne
关键词
D O I
10.1111/j.1423-0410.1979.tb04506.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Abstract. This review deals with the rationale for the use of hemodilution in patients not subjected to open heart surgery. The claim for an optimum of circulatory oxygen transport at 30% hematocrit has been disproved; hemodilution thus simply means acute normovolemic anemia. Accordingly, it generates a cardiovascular strain and particularly jeopardizes cerebral and myocardial oxygen supply. Potentially serious clinical side effects have been reported. Hemodilution should therefore not be carried beyond the lower normal range for the hemoglobin or hematocrit level, i.e. 12–12.5 g% or 35–36%. © 1979 Blackwell Publishing Ltd
引用
收藏
页码:321 / 336
页数:16
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