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人工关节置换充填骨水泥对血液动力学的影响
引用本文:段加方,赵建生,佟波涛. 人工关节置换充填骨水泥对血液动力学的影响[J]. 实用骨科杂志, 2008, 14(1): 27-28
作者姓名:段加方  赵建生  佟波涛
作者单位:南京解放军第81医院麻醉科,江苏,南京,210002
摘    要:
目的观察人工关节置换术中充填骨水泥对血液动力学的影响。方法40例ASAⅡ~Ⅲ级行人工关节置换术的患者,观察骨水泥充填后10min内血液动力学的变化。结果充填骨水泥后10min内患者血液动力学都有显著变化(P〈0.05),个别患者血压下降严重。需升压药支持。结论人工关节置换术中充填骨水泥可致血液动力学严重波动,应引起重视。

关 键 词:人工关节置换术  骨水泥  血液动力学
文章编号:1008-5572(2008)01-0027-02
修稿时间:2007-08-09

Effects of Acrylic Bone Cement Implantation on Hemodynamics during the Artificial Joint Replacement
DUAN Jia-fang,ZHAO Jian-sheng,TONG Bo-tao. Effects of Acrylic Bone Cement Implantation on Hemodynamics during the Artificial Joint Replacement[J]. Journal of Practical Orthopedics, 2008, 14(1): 27-28
Authors:DUAN Jia-fang  ZHAO Jian-sheng  TONG Bo-tao
Affiliation:(Department of Anesthesiology,the 81th Hospital of PLA,Nanjing 210002,China)
Abstract:
Objective To investigate the effect of acrylic cement implantation on hemodynamics during the artificial joint replacement. Methods Forty ASA Ⅱ-Ⅲ patients scheduled for the artificial joint elective replacement were investigated the changes of hemodynamics after acrylic cement implantation within 10 min. Results Hemodynamic fluctuation was observed within 10 min after insertion of acrylic cement with all patients(P〈0.05),a few patient's blood pressure drops seriously ,need to step up the medicine to maintain. Conclusion The insertion of acrylic cement during the artificial joint replacement can result in a transient and critical hemodynamic fluctuation,more attentions should be paid.
Keywords:artificial joint replacement  acrylic cement  hemodynamics
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