人工全髋关节置换术隐性失血量的估算及原因分析pdf.docVIP

?490 . 临床研究 ?论著? 人工全髋关节置换术隐性失血量的估算及原因分析 高玉镭，王东辰，李佩佳，田敏，罗永忠 ［ ］H的探讨人T全髋关节罝换术(total hip and total knee arthroplasty, THA)险性失血的发生机制及邡危 险因索作用关系。方法从笔茗所在医院2008-03?2010-01收治忠齐中抽収80例中.侧THA，通过Gross方程 计算出隐性失血1。记录不同年龄(270周岁)，旮无内科疾病(商血版病、糖尿病、冠心病)，性别，不同疾病之fnj,肥 胖(BMI30kg/m2)等情况下THA闹手术期隐性失血量，分析讨论闹手术期隐件失血的发生机制和危险冈尜。结采 闹手术期的实际失血总景平均为1320 ml,隐性失血为436 ml，占33%，年龄、有无内科疾病、性别在隐性失血的虽方 而有统计学差异，而不同疾病之间、肥胖则在隐性失血的虽方而无统计学差异。结论高龄忠者、有内科疾病症者、男忡等 悄况F隐性失血增多，对这些悄况围手术期災应提髙认识，及时补充异体血。 ［关键闻］人工关节羿换：隐性失血量：影响因索 ［ ］R687.4 ［ ］A Calculation and cause analysis of hidden blood loss in total hip arthroplasty GAO Yu -lei, WANG Dong-chen, LI Pei-jia, et al. Orthopaedic Center, the 88th Hospital of PLA, Taian, Shandong 271000, China [Abstract] Objective To explore the incidence mechanism, risk factors and volume calculation of hidden blood loss in THA (total hip arthroplasty). Method The 80 cases of unilateral THA treated in author’s hospital from March 2008 to January 2010 were involved in this study. The volume of hidde blood loss was calculated by the Gross equation. Perioperative hidden blood loss was studied according to ages, preexisting diseases(hypertension, diabetes and coronary heart disease), gender, tourniquet time, different diseases and obesity. And the incidence mechanism of hidden blood loss and its risk factors were explored. Results The mean total perioperative blood loss was 1320 ml. Hidden blood loss was 436 ml, accounting for 33% . The hidden blood loss had statistically significant difference at different ages, preexisting diseases and gender, while the difference did not have statistical significance at different diseases and obesity. Conclusion More hidden blood loss is found in elderly patients, patients with existing diseases and male patients. In above cases allogeneic blood transfusion should be timely taken. [Key words] Arthroplastyl; Hidden blood loss; Factors [ 单位】271000山东泰安，88医院骨科(商玉镭，王东辰，李佩 佳,田敏，罗永忠〉 据笔再观察，行人工全髋关节置换术(total hip and total knee arthroplasty, THA)患老术后血红蛋 白的下降水平常与预期的结果