贵州医科大学学报

1988, (01) 58-61

[打印本页] [关闭]
本期目录(Current Issue) | 过刊浏览(Past Issue) | 高级检索(Advanced Search)

体外循环期中血及电解质变化
CHANGES IN BLOOD-GAS TENSION AND SERUM ELECTROLYTE DURING HYPOTHERMIC EXTRACORPOREAL CIRCULATION

薛承奚;俞宏丽;安裕文;吴德莹;崔道矩;岑汉杰;夏元经;陈恪刚;王迪芬;刘兴敏;
Xue Chenxi, Dep of Anesthesiol

摘要(Abstract):

回顾性分析50例低温体外循环心内直视手术的血气及血清电解质变化。据测定结果认为:氧合正常,一般不会发生低氧血症;转流中的主要问题是呼吸性碱中毒;转流未使血清钠进一步下降;低钾血症的原因可能为pH升高、低温及多尿。为了提高心脏自发性复跳的百分率,在整个麻醉及手术过程中必须补充氯化钾。
This paper presents the changes in blood-gas tension and serum electrolytes during open heart surgery with hypothermic extracorporeal circulation. Fifty cases from Sep 1982 to Aug 1986 were reviewed retropectively. Blood samples were taken before CPB (Cardiopulmonary bypass), at 10-15 minutes after the onset of CPB and at the end of CPB. From the measuring data we concluded; 1. Oxygenation was normal, hypooxemia didn't occur usually. 2. Respiratory alkalosis was the principle problem during bypass. 3. Perfusion didn't lead to further becreasing in serum sodium. 4. The cause of hypopotassemia might be rising pH, hypothermia and polyuria. In order to obtain a heigher percentage of spontaneous heart contraction Potassium Chloride must be given in the whole course of anesthesia and operation.

关键词(KeyWords): 体外循环;血气分析;呼吸性碱中毒;低钾血症
Extracorporeal circulation Blood gas analyses Alkalosis, respiratory Hypopotassemia

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 薛承奚;俞宏丽;安裕文;吴德莹;崔道矩;岑汉杰;夏元经;陈恪刚;王迪芬;刘兴敏;
Xue Chenxi, Dep of Anesthesiol

Email:

DOI: 10.19367/j.cnki.1000-2707.1988.01.017

文章评论(Comment):

序号(No.) 时间(Time) 反馈人(User) 邮箱(Email) 标题(Title) 内容(Content)
反馈人(User) 邮箱地址(Email)
反馈标题(Title)
反馈内容(Content)
扩展功能
本文信息
服务与反馈
本文关键词相关文章
本文作者相关文章
中国知网
分享