| 人工全膝关节置换术中止血带应用方法的效果比较 |
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| 引用本文： | 李想,董纪元,陈继营,张国强,张立海,许猛. 人工全膝关节置换术中止血带应用方法的效果比较[J]. 军医进修学院学报, 2011, 32(6): 609-610 |
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| 作者姓名： | 李想 董纪元 陈继营 张国强 张立海 许猛 |
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| 作者单位： | 解放军总医院骨科,北京,100853 |
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| 摘 要： | 目的评估人工全膝关节置换术时止血带两种不同的使用方法对患者术后康复的影响。方法回顾分析我院2009年5月-2010年10月47例初次人工全膝关节置换术患者病例,其中女性42例,男性5例,平均年龄62.68岁;记录术后第1、3、5d的血红蛋白及红细胞计数下降值,术后关节腔引流量、术中失血量、止血带时间、总手术时间,并根据对止血带两种不同的使用方法进行比较。结果止血带两种应用方法对术后患者血红蛋白及红细胞计数下降值、术后关节腔引流量、术中失血量、总手术时间无明显影响。结论采用股骨截骨至关节囊缝合期间使用止血带可显著缩短止血带使用时间,并不会导致术中出血量增加和术后贫血情况加剧。
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| 关 键 词： | 止血带 人工全膝关节置换术 术中出血 |
Effect of tourniquet on blood loss during total knee replacement |
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| LI Xiang,DONG Ji-yuan,CHEN Ji-ying,ZHANG Guo-qiang,ZHANG Li-hai,XU Meng. Effect of tourniquet on blood loss during total knee replacement[J]. Academic Journal of Pla Postgraduate Medical School, 2011, 32(6): 609-610 |
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| Authors: | LI Xiang DONG Ji-yuan CHEN Ji-ying ZHANG Guo-qiang ZHANG Li-hai XU Meng |
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| Affiliation: | LI Xiang,DONG Ji-yuan,CHEN Ji-ying,ZHANG Guo-qiang,ZHANG Li-hai,XU Meng Department of Orthopedics,Chinese PLA General Hospital,Beijing 100853,China |
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| Abstract: | Objective To evaluate the effect of tourniquet on blood loss during total knee replacement.Methods Forty-seven patients(5 males and 42 females) at the mean age of 62.68 years,who underwent total knee replacement in our hospital from September 2009 to May of 2010,were retrospectively analyzed.Their hemoglobin and erythrocytes,drainage volume from knee lumen after operation,blood loss during operation,tourniquet-used time,and total operation time were recorded to compare the effect of tourniquet on blood loss... |
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| Keywords: | Tourniquets Total Knee Arthroplasty Blood Loss |
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