人工全髋关节置换术后的隐性失血
陈述祥;刘彦;
摘要(Abstract):
<正>自从1938年Wiles用不锈钢研制,并应用全髋关节以来,人工全髋关节置换术有了很大的发展,但是临床疗效仍然不是很令人满意。近年来,随着外科手术技术的不断发展,手术过程中的显性失血量显著减少,但隐性失血问题并未引起足够重视,患者术后血红蛋白水平急剧下降,这种血红蛋白量下降与显性失血不符的现象,即被认为是隐性失血,它
关键词(KeyWords): 隐性失血;髋关节;人工关节置换
基金项目(Foundation):
作者(Author): 陈述祥;刘彦;
Email:
DOI:
参考文献(References):
- [1]Reininga IH,Zijlstra W,Wangenakers R,et al.Minmally invasive andcompouter navigated total hip arthroplsty:a qualitative and systematicreview of the literature[J].BMC Musculoskelet Disord,2010,11:92.
- [2]Sehat KR,Evans RL,Newman JH.How much blood is really lost in to-tal knee arthroplasty?Correct blood loss management should take hid-den loss into account[J].Knee,2000,3:151-155.
- [3]Pattison E,protheroe K,Pringle RM,et al.Reduction in haemoglobinafter knee joint surgery[J].Ann Rheum Dis,1973,6:582-584.
- [4]Faris PM,Ritter MA,Keating EM,et al.Unwashed filtered shed bloodcollected after knee and hip arthroplasties:a source of autologous redblood cells[J].J Bone Joint Surg Am,1991,73:2169-1178.
- [5]Eriskine JG,Fraset C,Simpson R,et al.Blood loss with knee joint re-placement[J].JR Coll Surg Edinb,1981,5:285-297.
- [6]Rosencher N,Kerkkamp JE,Macheras G,er al.Orthopedic transfusionhemoglobin in European overview(OSTHEO)study:blood managementin elective knee and hip arthroplasty in Europe[J].Transfusion,2003,43:459-469.
- [7]Mcmanus KT,Velchik MG,Alavi A,et al.Non-invasive assessment ofpostoperative bleeding in TKA patient with TC-99m RNCs[J].J Nu-clear Med,1987,28:565-567.
- [8]覃健,余存泰,徐中和,等.全髋关节及全膝关节置换术后隐性失血的临床影响[J].中华骨科杂志,2006,5:323-326.
- [9]Ward CF,Meathe EA,Benumof JL,et al.A computer nomogram forblood LOSS replacement[J].Anesthesiology,1980,53:126-130.
- [10]Gross JB.Estimating allowable blood loss:corrected for dilution[J].Anesthesiology,1983,3:277-280.
- [11]Nadler SB,Hidalgo JU,Bloch T.Prediction of blood volume in normalhuman adults[J].Surgery,1962,57:224-232.
- [12]陈良龙,王万春,毛新展,等.老龄患者全髋膝关节置换术失血量的及时评估和处理[J].中南大学学报(医学版),2007,2:316-319.
- [13]丛宇.全髋关节及全膝关节置换术后隐性失血的相关研究[D].上海:第二军医大学硕士学位论文,2011.
- [14]杨越华,蒋雷生.髋膝关节置换及髋部骨折内固定术后隐性失血[J].国际骨科学杂志,2011,5:289-290.
- [15]Prasad N,Padmanabhan V,Mullaji A.Blood loss in total knee arthro-plasty:an analysis of risk factors[J].Int Orthop(SICOT),2007,31:39-44.
- [16]高玉镭.人工全髋和全膝关节置换术隐性失血的发生机制及影响因素分析[D].泰安:泰山医学院硕士学位论文.
- [17]Bowditch MG,Villar RN.Do obese patients bleed more?A prospectiveof boold loss at total hip replacement[J].Ann R Coll Surg Engl,1999,1:198-200.
- [18]刘旭东,张先龙,曾炳芳,等.全髋关节置换术后的隐性失血分析[J].中国矫形外科杂志,2011,12:995-997.
- [19]An HS,Mikhail WE,Jackson WT,et al.Effects of hypotensive anesthe-sia,nonsteroidal anti-inflammatory drugs,and polymethylmethacrylateon bleeding in total hip arthroplasty patients[J].J Arthroplasty,1991,3:245-250.
- [20]黄伟,梁熙,孟纯阳,等.人工髋关节置换术后早期腹股沟区疼痛原因分析[J].中华创伤杂志,2006,11:811-814.
- [21]Wixson RL,Kwaan HC,Spies SM,et al.Reinfusion of postoperativewound drainage in total joint arthroplasty.Red blood cell survival andcoagulopathy risk[J].J Arthroplasty,1994,4:351-358.
- [22]艾京,吕厚山,杨刚,等.人工全膝关节置换术后未洗涤自体引流血形态学研究[J].中华骨科杂志,2004,24:350-354.
- [23]Kunmar D,Mbako AN,Riddick A,et al.On admission haemoglobin inpatients with hip fracture[J].Injury,2011,2:167-170.
- [24]李平,郭小波,刘宾宾.非创伤性血液丢失对老年髋部骨折围手术期的影响[J].现代中西医结合杂志,2010,6:660-661.
- [25]Winagre GR,Cornejo BC,Murillo-Perez A,et al.Diagnostic blood los-ses in sever trauma patients[J].Enferm Intensive,2010,3:120-125.
- [26]Foss NB,Kristensen MT,Kehlet H.Anaemia impedes functional mobil-ity after hip fracture surgery[J].Age Ageing,2008,2:173-178.
- [27]孙伟,李子荣.人工关节置换术围手术期的血液管理[J].中华外科杂志,2004,4:244-247.
- [28]李军,朱天岳,马忠泰,等.低分子肝素预防髋关节置换术后深静脉血栓的安全性[J].中国矫形外科杂志,2004,16:1223-1225.