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双侧全髋置换术后FIB浓度对术后出血量的影响

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摘要 目的:双侧全髋关节置换术(THA,total hip arthroplasty)术后出血量多是其常见并发症,本研究拟对其术后出血量的影响因素进行探讨。方法:对某三甲医院从2008年1月至2013年9月进行THA手术的150例患者资料进行回顾性分析,记录患者基本情况、手术信息、术后24 h的出血量。结果:指数曲线图中显示出血量与FIB浓度呈负相关性;s型图中当FIB<2 g/L左右时出血量增加速率明显较高,而当FIB≥2 g/L左右时,创面出血量相对稳定。手术时间、性别等其他因素与术后出血量没有明显相关性。结论:现在的观点即FIB<1.0 g/L时才给予FIB的标准可能过于严格[1-2],术后密切关注患者的FIB水平使其维持在一个合适的浓度对患者术后出血量及预防血栓形成有重要意义。
出处 《实用医学杂志》 CAS 北大核心 2014年第14期2277-2278,共2页 The Journal of Practical Medicine
基金 广东省医学科研基金项目(编号:A2013440,A2013439)
作者简介 通信作者:骆喜宝 E-mail:luoxibao@163.com
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参考文献9

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