The change of plasma volume, central venous pressure and water balance of patients treated by haemodynamic therapy for vasospasm.
The plasma volume, central venous pressure and water balance of 24 patients were measured around the 1st and 2nd week after early operations for ruptured aneurysms. All of the patients had been successfully treated by induced hypertension therapy for delayed vasospasm. Plasma volume was measured by the RI method using RISA. The average plasma volume of 16 patients was 58.3 +/- 6.2 ml/kg. This group had 200 ml of 25% albumin every day. It was 48.2 +/- 6.2 ml/kg for 8 patients without albumin administration. The average CVP was 11.3 +/- 2.2 cm on the albumin group. It was 5.3 +/- 1.5 cm on the non-albumin group. The value of plasma volume and CVP was statistically higher in the albumin group than in the non-albumin group. Water balance was positive in about half of the albumin group. It was negative in the non-albumin group. Three patients of the albumin group had pulmonary oedemas and one patient of the non-albumin group had congestive heart failure.
D000328:Adult; D000368:Aged; D000418:Albumins / Q000627:therapeutic use*; D001834:Body Water / Q000378:metabolism; D002496:Central Venous Pressure; D003911:Dextrans / Q000627:therapeutic use*; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications; D002546:Ischemic Attack, Transient / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010953:Plasma Volume; D013345:Subarachnoid Hemorrhage / Q000150:complications
D000418:Albumins; D003911:Dextrans