| 急诊胆囊炎不同手术方式对机体凝血功能的影响 |
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| 引用本文： | 蒙广星,李昭宇,孟化.急诊胆囊炎不同手术方式对机体凝血功能的影响[J].宁夏医科大学学报,2006,28(3):209-210. |
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| 作者姓名： | 蒙广星 李昭宇 孟化 |
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| 作者单位： | [1]宁夏医学院附属医院肝胆外科,银川750004 [2]大连医科大学附属第一附属医院外一科,大连116011 |
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| 摘 要： | 目的探讨急诊胆囊炎不同手术方式对机体凝血功能的影响.方法随机选择急诊腹腔镜胆囊切除术（LC）患者32例和急诊开腹胆囊切除术（OC）患者30例,术前1h,术后1、24、72h静息空腹采血检测凝血酶原时间（PT）、活化部分凝血活酶时间（APTT）、凝血酶凝固时间（TT）、纤维蛋白原（Fg）及血小板计数（PLT）值,比较两组患者上述指标变化.结果急诊LC组术后PT、APTT、TT、Fg及PLT值均有不同程度的改变,但与急诊OC组相应指标比较差异无统计学意义.结论急诊LC和急诊OC术后血液均处于高凝状态,二者对机体凝血功能的影响无明显不同.
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| 关 键 词： | 腹腔镜 胆囊切除术 凝血功能 |
| 文章编号： | 1005-8486(2006)03-0209-02 |
| 收稿时间： | 2005-10-17 |
| 修稿时间： | 2005年10月17 |
Influences of Two Modus Operandi in Acute Cholecystitis on Coagulative Function |
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| MENG Guang-xing,LI Zhao-yu,MENG Hua.Influences of Two Modus Operandi in Acute Cholecystitis on Coagulative Function[J].Journal of Ningxia Medical College,2006,28(3):209-210. |
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| Authors: | MENG Guang-xing LI Zhao-yu MENG Hua |
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| Institution: | 1. Dept. of Hepatobiliary Surgery, the Affiliated Hospital of Ningxia Med. Coll., Yinchuan 750004; 2. Dept. of the First Surgery, the First Affiliated Hospital of Dalian Med. Coll., Dalian 116011 |
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| Abstract: | Objective To study the influences of two modus operandi in acute cholecystitis on coagulative function. Methods Thirty and two patients with acute cholecystitis underwent laparoscopic cholecystectormy and 30 patients with acute cholecystitis underwent open cholecystectormy were randomized. Blood samples were collected while resting and empty stomach, PT, APTT, TT, FBG and PLT levels were assessed preoperatively and 1h, 24h, 72h postoperatively. All the parameters were compared between the two groups. Results The levels of PT, APTT, TT, Fg and PLT changed postoperatively in LC group, but no difference compared with OC group. Conclusion Emergency LC and emergency OC induces up-regulation of coagulation system and has less influence on blood coagulation. |
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| Keywords: | laparoscopic cholecystectormy blood coagulation |
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