在儿童的部重建后隐藏的血液损失及其危险因素
Jiafei Yang1,2, Hua Jiang2, Huajian Gu2
1School of Clinical Medicine, Guizhou Medical University, Guiyang, China.
Journal of orthopaedic surgery and research
|July 5, 2024
概括
在部重建后,对于部发育性形而言,隐性血液损失是显著的. 患者的体重和更长的手术时间增加了这种风险,需要仔细的术后监测.
科学领域:
- 整形外科手术 整形外科手术
- 儿科整形外科 儿科整形外科
- 外科手术的结果
背景情况:
- 关于儿科部重建中隐性失血 (HBL) 的数据有限.
- 部发育性形 (DDH) 手术可能涉及大量的,未测量的血液损失.
研究的目的:
- 在手术纠正DDH后量化HBL.
- 在儿科DDH患者中识别与HBL相关的风险因素.
主要方法:
- 对42名接受佩伯顿骨切割和大腿骨切割的患者 (58名部骨切割) 的回顾性分析.
- 使用基于血位数变化的总公式计算HBL.
- 统计分析包括多变量线性回归来确定风险因素.
主要成果:
- 平均HBL为283.06±271.05毫升,占总血液损失的70.22%.
- 患者体重和手术持续时间被确定为HBL的独立风险因素.
结论:
- 显著的HBL发生在DDH的Pemberton和大腿骨切除术后.
- 加长的手术时间和需要输血的需要与更高的HBL相关.
- 对HBL的认识和监测对于DDH手术中的患者安全至关重要.
更多相关视频
09:51The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
2.6K
09:31Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
Published on: February 27, 2018
11.8K
相关概念视频
Disorders of Hemostasis
824
Hemostasis, the process that stops bleeding after a blood vessel injury, is crucial for maintaining the integrity of the circulatory system. However, disorders of hemostasis can disrupt this delicate balance, leading to either excessive clotting or bleeding. These disorders can be broadly classified into thromboembolic disorders and bleeding disorders.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
824
Bone Marrow Sampling and Transplants
323
Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
323
Overview of Hematopoiesis
3.9K
Hematopoiesis, or blood cell production, is a vital biological process that begins early in embryonic development and continues throughout life. This process generates the various types of cells found in blood, including red blood cells, white blood cells, and platelets from hematopoietic stem cells (HSCs).
Developmental Phases of Hematopoiesis
Initially, HSCs are formed in the embryonic yolk sac, a critical site for early blood cell production. These stem cells subsequently migrate to other...
Developmental Phases of Hematopoiesis
Initially, HSCs are formed in the embryonic yolk sac, a critical site for early blood cell production. These stem cells subsequently migrate to other...
3.9K
