Intraoperative Management of Extreme Hemodilution in a Patient with a Severed Axillary Artery

被引：23

作者：

Dai, JianQiang ^{[1
]}

Tu, WeiFeng ^{[2
]}

Yang, Zheng ^{[2
]}

Lin, RiHui ^{[2
]}

机构：

[1] Liuhua Qiao Hosp, Orthoped Intens Care Unit, Guangzhou 510010, Guangdong, Peoples R China

[2] Liuhua Qiao Hosp, Dept Anesthesiol, Guangzhou 510010, Guangdong, Peoples R China

来源：

ANESTHESIA AND ANALGESIA | 2010年 / 111卷 / 05期

关键词：

RED-BLOOD-CELLS; ISOVOLEMIC ANEMIA; TRANSFUSION; HEMOGLOBIN; MORBIDITY; MORTALITY;

D O I：

10.1213/ANE.0b013e3181e668b8

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

We present a case of extreme hemodilution in which appropriately crossmatched blood was not available. A 53-year-old man was admitted to our hospital because of hemorrhagic shock due to multiple stab wounds. His blood type was B, Rh negative, and his intravascular fluid volume was maintained with balanced salt solution and plasma substitutes, i.e., hydroxyethyl starch. His hemoglobin reached a nadir of 0.7 g/dL and hematocrit 2.2% before being transfused. No evidence of cardiac ischemia was noted and he was discharged in good condition. Extreme hemodilution can be successfully managed by maintaining a normal blood volume, 100% oxygen, and the use of plasma substitutes. (Anesth Analg 2010;111:1204-6)

引用

页码：1204 / 1206

页数：3

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