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- W2331235920 abstract "血管内容量を評価し体液量を適正に保つ輸液管理は,重症患者の予後を左右するが,通常用いられている循環系パラメータでは適正に評価できない場合も決して少なくない。最近,開発されたパルス色素希釈法(pulse dye-densitometry)は,頻回の血液サンプリングを必要とせず,集中治療における体液量評価も新たな段階を迎えつつある。またわれわれが提唱しているブドウ糖初期分布容量は体中心部の細胞外液量を反映し,インドシアニングリーン(ICG)を用いた血漿量評価に比し,心拍出量と良好な正の相関関係がある。ICGは熱傷初期,敗血症,外傷などの蛋白質漏出時には血管外に洩れ,血漿量を過大に評価する可能性がある。さらに血管内容量が正常であっても,中心部の容量は低下している場合もみられるように,体液量評価は種々の問題を含んでいる。1つのパラメータのみでなく,患者の病態や他のパラメータをも含め,総合的に血管内容量を評価し,適正化を図らなければならない。" @default.
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- W2331235920 title "Measurement of fluid volume using dilution volumetry in critically ill patients." @default.
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