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羟乙基淀粉(下称HES)与右旋糖酐70(下称D-70),同属胶原性血浆扩容剂(扩充血容量),两者在我国均已上市,前者的分子量以3-4万为主,后者有3种不同规格,分子量以4万为主的是右旋糖酐40;以7.0-7.5为主的是D-70;另一种分子量在8万以上。D-70在临床上使用最早亦最广,在我院也已有20-25年的历史。近6年来有时采用HES,迄今两者之间在血浆扩容剂方面的异同及应注意的事项,有些尚难以确切解答。本文主要是对比我院使用两者的情况,提出一些意见供商榷和探讨。
Hydroxyethyl starch (hereinafter referred to as HES) and dextran 70 (hereinafter referred to as D-70), both belong to the collagen plasma expansion (expansion of blood volume), both in China have been listed, the former molecular weight of 3-4 million , The latter has three different specifications, the molecular weight of 40,000 mainly dextran 40; to 7.0-7.5 mainly D-70; the other with a molecular weight of 80,000 or more. D-70 is the most widely used in clinical practice, in our hospital has 20-25 years of history. HES is sometimes used in the past 6 years, so far the similarities and differences between the two in the plasma expander and matters needing attention, some are still difficult to answer the exact answer. This article mainly compares the use of both our hospital situation, put forward some opinions for discussion and discussion.