在接受口腔恶性瘤手术的患者中估计血液损失:一项临床研究
Amrutha Varshini1, Venkatesh Anehosur1, Vajendra K Joshi2
1Department of Oral and Maxillofacial Surgery, SDM Craniofacial Research Centre, SDM College of Dental Sciences and Hospital, Shri Dharmasthala Manjunatheshwara University, Dharwad, Karnataka 580009 India.
Journal of maxillofacial and oral surgery
|October 8, 2024
概括
这项针对大手术的研究发现,有效的血液储存策略显著降低了血液流失和输血率. 这些发现支持在复杂的外科手术过程中实施手术前,手术内和手术后措施,以控制血液损失.
科学领域:
- 手术瘤学手术瘤学
- 麻醉学 麻醉学
- 输血医学 输血医学
背景情况:
- 大型手术,包括部剖析和瘤切除,都会带来大量血流的风险.
- 输血,虽然有时是必要的,但与潜在的风险和并发症有关.
- 优化血液储存策略对于改善瘤外科手术患者的治疗结果至关重要.
研究的目的:
- 在接受重大头癌手术的患者中估计血液损失.
- 为了评估这个患者队伍中输血的发生率.
- 评估各种血液节约措施在避免输血方面的有效性.
主要方法:
- 在2017年至2019年期间进行的前性研究.
- 收集关于人口特征,临床因素和手术细节的数据.
- 估计血液损失,记录输血发生率,以及实施的血液保存技术.
主要成果:
- 总共有38名患有口腔状细胞癌的患者 (76.3%为男性) 进行了分析.
- 平均失血量为673.5毫升 (范围:400-807毫升),与手术持续时间相关.
- 在76.3%的患者中,成功避免了输血.
结论:
- 虽然准确测量流血仍然具有挑战性,但这项研究表明流血和输血率较低.
- 在手术前,手术期间和手术后的血液储存措施是有效的在管理大手术期间的血液损失.
- 这些发现支持了主动血液管理可以将输血需求降到最低的假设.
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