髋部手术围手术期隐性失血的研究进展

髋部骨折的患者术前、术后均存在隐性失血,且常影响患者伤口的愈合,使感染概率增加,康复锻炼时间延长,影响术后疗效.同时,机体失血量的增加激发了血液的凝血机制,促进了深静脉血栓形成的发生,出血和深静脉血栓已成为髋部手术高风险的主要原因.止血非常重要,抗凝亦不容忽视,因此,如何有效地处理术后抗凝和止血这一突出矛盾或从中寻找一个最佳的平衡点已成为髋部骨折治疗的棘手问题.

Progress on peri-operative hidden blood loss after hip fracture

Hip fracture patients preoperative and postoperative exist hidden blood loss which often affect patients' wound healing,increase the probability of infection,prolong rehabilitation exercise,influence postoperative effect. At the same time,the body's blood loss increase the activation of the blood clotting mechanism,promote the incidence of deep vein thrombosis,bleeding and deep vein thrombosis has become the main causes of high risk in hip operation. It is very important to stop bleeding,anticoagulation should not be ignored,so how to effectively deal with the prominent contradiction between the postoperative anticoagulation and bleeding or looking for a best balance has become a intractable problems in hip fracture treatment.