| 全膝关节置换术隐性失血的初步研究 |
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| 引用本文： | 余存泰,覃健,侯之启,郑民庆,王新亮.全膝关节置换术隐性失血的初步研究[J].中国骨与关节损伤杂志,2006,21(10):784-786. |
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| 作者姓名： | 余存泰 覃健 侯之启 郑民庆 王新亮 |
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| 作者单位： | 广东省广州市第一人民医院关节外科,510180 |
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| 摘 要： | 目的研究人工全膝关节置换术(totalkneearthroplasty,TKA)的隐性失血。方法对73例TKA患者进行回顾性分析,通过Gross方程推算术后平均隐性失血量。结果TKA组中使用自体血回输患者的总失血量为1625ml,隐性失血量为774ml(48%);未使用自体血回输患者的总失血量是1345ml,隐性失血量是783ml(58%);实际上两组的隐性失血相差不大。结论TKA隐性失血量占总失血量的比例为52%,且使用自体血回输不能完全满足机体恢复体循环的需要,在围手术期要特别注意及时补充血容量。
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| 关 键 词： | 人工全膝关节置换 隐性失血 回输 |
| 收稿时间： | 2006-05-21 |
| 修稿时间： | 2006年5月21日 |
Hidden Blood Loss Following Total Knee Arthroplasty |
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| Yu Cuntai, Qin Jian, Hou Zhiqi,et al..Hidden Blood Loss Following Total Knee Arthroplasty[J].Chinese Journal of Bone and Joint Injury,2006,21(10):784-786. |
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| Authors: | Yu Cuntai Qin Jian Hou Zhiqi |
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| Institution: | Yu Cuntai, Qin Jian, Hou Zhiqi, et al. |
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| Abstract: | Objective To study hidden blood loss following total knee arthroplasty(TKA).Methods Seventy-three patients were retrospectively analyzed and the hidden blood loss following total knee arthroplasty was calculated by using Gross formula. Results TKA with blood re-infused, the mean total loss was 1 625 ml and the hidden loss 774 ml (48%) while in TKA without blood re-infused, the mean total loss was 1 345 ml and the hidden loss 783 ml (58%).There was no difference between two groups.Conclusion The hidden blood loss accounts for 52% in the total blood loss.It's very important to supplement the blood volume during TKA peri-operative period in time, because the blood re-infusion is insufficient for recovering the blood circulation. |
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| Keywords: | Total knee arthroplasty Hidden blood loss Re-infuse |
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