Liu Xiang,Cao Hongyan,Qiao Li,et al.Effects of acetated Ringer’s solution on acid-base balance and electrolytes in biliary atresia children[J].Journal of Clinical Pediatric Surgery,,19():503-507.[doi:10.3969/j.issn.1671-6353.2020.06.008]
Effects of acetated Ringer’s solution on acid-base balance and electrolytes in biliary atresia children
- CLC:
- R977.7;R722;R575.7;R725.7
- Abstract:
- Objective To evaluate the efficacy of sodium acetate ringer on fluid therapy in biliary atresia (BA) children.Methods A total of 60 children aged 21 to 65 days,American Society of Anesthesiologists physical statusⅡ/Ⅲ,scheduled for elective Kasai surgery under general anesthesia were randomized divided into LR:sodium lactate ringer’s injection group and AR:sodium acetate ringer’s injection group(n=30 each).The concentrations of sodium ion,potassium ion,bicarbonate ion,chorine ion,calcium ion and lactate and pH values were recorded at the timepoints of pre-skin incision (T1),end of surgery (T2) and postoperative 12 h (T3).Intraoperative body temperature was monitored,and intraoperative vasoactive agents and hypoglycemia were recorded.Postoperative blood loss,transfusion volume and urine volume were counted.Results No significant inter-group statistical difference existed in volume of blood loss,transfusion volume,volume of urine,intraoperative use of vasoactive agents or occurrence of hypoglycema (P>0.05).As compared with LR:sodium lactate ringer’s injection group,lactae concentration was significantly lower in group AR:sodium acetate ringer’s injection group at T2 (P<0.05); as compared with T3,the temperatures of both groups decreased at T1 and T2 (P<0.05).Conclusion Acetated Ringer may be a feasible and effective alternative for maintaining the in vivo balances of electrolytes and acid-base during pediatric Kasai surgery.
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Memo
收稿日期:2019-05-10。
通讯作者:石磊,Email:shileilx@163.com