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时间:2020-05-09
《氨甲环酸在非体外循环冠脉搭桥术中的应用.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、678Vo1.26No.6JournalofAerospaceMedicineJun2Ol5氨甲环酸在非体外循环冠脉搭桥术中的应用郭涛韩哲邢玉涛黄朝宇苏莉[摘要]目的研究氨甲环酸在非体外循环冠脉搭桥手术(OPCABG)中的应用效果。方法选择OPCABG患者60例,随机分为A组(氨甲环酸组)与B组(对照组),每组3O例,在切皮时分别开始静脉缓慢滴注氨甲环酸20mg/kg和等量的0.9%氯化钠溶液,时间大于30min,记录围术期出血量、输血情况、D一二聚体以及其他相关凝血功能指标、肾功能指标的变化和过敏反应的发生情况。结果术中平均失血量
2、、输血人数以及术毕心包和纵隔引流量A组少于B组,差异有统计学意义;两组术后D一二聚体值均明显增加,但A组增加程度明显小于B组(P<0.05);术后引流量、输血量与B组比较未见显著性差异;两组凝血酶原时间(PT)和部分活化凝血酶时间(Am)术后无显著延长(P>0.05);组闯比较亦无显著性差异;纤维蛋白原(Fib)B组术后比术前显著降低(P<0.05),A组则无显著性变化;两组血小板数量均明显降低,组内差异显著,组间无显著差异。两组患者均未发生术后严重低血压、异常出血、肾功能不全以及过敏反应。结论OPCABG术中应用氨甲环酸可减少术中
3、出血量,抑制术后纤溶亢进,改善术后早期低凝状态。[关键词]氨甲环酸;非体外循环冠脉搭桥术;凝血;纤溶[中图分类号]R654;1【文献标识码]A【文章编号]2095—1434.2015.06.007EfectofTranexamicAcidonOf—pumpCoronaryArteryBypassGrafting/GUOTao,HANZhe,XINYutao,eta1.//(DepartmentofAnesthesiology,BeijingHaiDianHospital,100000,China)[Abstract]Objectiv
4、eToinvestigatetheefectoftranexamicacidonof—pumpcoronaryarterybypassgraft—ing.MethodsWeperformedof—pumpcoronaryarterybypassgraftingin60cases.Thesepatientswererandomlydi—videdintogroupA(tranexamicacidgroup)andgroupB(placebogroup)with30casesineachgroup.Tranexamicacid(20mg
5、/kg)andequalvolumeof0.9%sodiumchloridesolutionwereadministeredbyintravenousdripformorethan30rainbeforeskinincision.Weobservedthebloodlossinperioperation,bloodtransfusion,D—Dimer,coagulationin—dex,kidneyfunction,andallergicreaction.ResultsWefoundthatgroupAhadsignificant
6、lylessbloodloss,bloodtransfusion,andpostoperativemediastinalandpericardiacdrainagethangroupB.D—Dimerwereobviouslyincreasedinbothgroup,andincreasedD—DimerofgroupAwassignificantlylowerthanthatingroupB(P<0.05).Therewasnostatisticdiferenceinpostoperativedrainageandbloodtra
7、nsfusionbetweentwogroups.Wedidntfindexpandofpro-thrombintime(PT)andactivatedpartialthromoplastintime(AP1)inbothgroups.Fibrinogen(Fib)ingroupBsig-nificantlyreducedafteroperation(P<0.05),whiletherewasnochangeingroupA.Wealsofoundthattheplateletcountdecreasedinallcases,tho
8、ughdiferencesweresignificantwithineachgroupandnodifferenceswerefoundbetweenthem.Therewasnoseverehypotension,abnormalb
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