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在同时进行双边全膝关节整形手术中,临时的12小时排水紧与3小时排水紧相比
Byeong Yeong Ryu1, Jaehyun Kim2, Jai Hyung Park3
1Korea Ordnance Tactical Attack Range, Republic of Korea Air Force, Yeongwol, Korea.
Clinics in orthopedic surgery
|June 5, 2023
概括
与3小时的方案相比,在同时进行双边全膝关节整形术 (SBTKA) 后,12小时的闭合吸水排水紧协议显著降低了血液损失和输血率. 这种方法改善了手术后的血红蛋白和血红素水平,增强了患者的康复.
科学领域:
- 整形外科手术 整形外科手术
- 麻醉学 麻醉学
- 输血医学 输血医学
背景情况:
- 膝关节整形术 (TKA) 带有术后血流和输血的风险.
- 同时的双边全膝关节整形术 (SBTKA) 可能会加剧这些风险.
- 优化排水管理对于患者的安全和结果至关重要.
研究的目的:
- 为了比较SBTKA后封闭吸水排水的3小时和12小时紧间隔之间的外科手术期间的血液损失和输血率.
- 评估不同紧时间对术后血液学参数和临床结果的影响.
主要方法:
- 这是一项对122名SBTKA患者的回顾性研究.
- 在3小时的紧协议 (53名患者) 和12小时的紧协议 (69名患者) 之间的比较.
- 分析血液损失,输血需要,血红蛋白/血红素水平,再入院和临床结果.
主要成果:
- 12小时组的输血率显著降低 (26.1%与49.1%) 和估计的血液损失为1,426.9毫升与1,882.1毫升).
- 在12小时后组中,在术后第5天和整个住院期间观察到更高的术后血红蛋白和血红素水平.
- 两组之间在1年内伤口衰变或严重并发症没有显著差异.
结论:
- 关闭吸水排水的12小时紧协议优于SBTKA后的3小时协议.
- 这种延长的紧时间有效地减少了血液损失和对异构血液输血的需求.
- 建议考虑12小时方案,以尽量减少SBTKA患者的输血需求.
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