双侧股动静脉体外膜肺氧合对犬电解质和酸碱平衡的影响
电解质,,动脉静脉体外膜肺氧合;电解质;酸碱平衡,1材料和方法,2结果,3讨论
Effects of arteriovenous extracorporeal membrane oxygenation on electrolyte and acidbase balance in dogsWANG JingYu, GENG XiGang, LI YongXin, REN HuPing
Department of Cardiovascular Surgery, First Hospital, Xian Jiaotong University, Xian 710061, China
【Abstract】 AIM: To evaluate the influence of arteriovenous extracorporeal membrane oxygenation (AVECMO) on electrolyte and acidbase balance. METHODS: Na+, K+, Ca2+ and pH in blood were observed in dogs during the bilateral femoral arteriovenous ECMO. RESULTS: The Na+, K+, Ca2+ and pH in blood had some fluctuation, but their values were within the normal range during the bilateral femoral arteriovenous ECMO. No significant difference of the parameter was found between the right atria and artery (K+: F=0.176; Na+: F=0.153;Ca2+: F=0.098; PH: F=0.082, P>0.05). CONCLUSION: The electrolyte and acidbase balance are basically stable during the bilateral femoral arteriovenous ECMO, but K+ and Ca2+ gradually may decrease with the prolonging of ECMO time, to which attention must be paid. ......
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