INADEQUATE BICARBONATE RESUSCITATION IN TRAUMA PATIENTS REQUIRING CROSS-CLAMPING OF THE AORTA

被引：3

作者：

BAUMGARTNER, FJ ^{[1
]}

BONGARD, FS ^{[1
]}

KLEIN, SR ^{[1
]}

机构：

[1] UNIV CALIF LOS ANGELES,LOS ANGELES CTY HARBOR MED CTR,DEPT SURG,1000 W CARSON ST,BOX 15,TORRANCE,CA 90509

来源：

RESUSCITATION | 1990年 / 20卷 / 01期

关键词：

Bicarbonate resuscitation; Crossclamping of aorta; Trauma patients;

D O I：

10.1016/0300-9572(90)90082-P

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The use of bicarbonate in the management of metabolic acidosis is controversial. We present three patients who required crossclamping of the aorta for control of shock and whose metabolic acidosis was inadequately treated with bicarbonate. Within minutes of aortic declamping, all became hypotensive and two went into refractory ventricular fibrillation and died. Arguments supporting the role of adequate bicarbonate resuscitation in this setting are discussed. © 1990.

引用

页码：17 / 23

页数：7

共 30 条

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