在肩部关节镜检查中量化和预测血红蛋白下降,隐性血液损失和灌液保持的指标
Nikola Matejcic1, Nikola Grzalja1, Karlo Tudor1
1Lovran Orthopaedic Clinic, Faculty of Medicine, University of Rijeka, 51415 Lovran, Croatia.
Journal of clinical medicine
|June 13, 2025
概括
手术后的血液损失和在肩膀关节镜检查后的血红蛋白下降明显高于手术内损失. 高龄和男性预测血红蛋白下降更大,强调需要仔细监测患者.
科学领域:
- 整形外科手术 整形外科手术
- 外科手术出血研究研究
背景情况:
- 肩部关节镜检查是一种流行的外科手术手术.
- 在肩膀关节镜检查后的术后失血情况尚不清楚.
- 量化失血和血红蛋白变化对于患者的安全至关重要.
研究的目的:
- 为了量化在肩膀关节镜术中的手术内和手术后的血液损失.
- 评估血红蛋白下降及其导致因素.
- 评估灌液和灌注液对血液损失和血红蛋白水平的影响.
主要方法:
- 对49名接受关节镜旋转手套修复的患者进行前性观察性研究.
- 测量手术前和手术后的血红蛋白水平.
- 分析手术期间和手术后的血液流失,以及灌液保持情况.
- 多重回归分析以确定血红蛋白下降的预测因素.
主要成果:
- 总血液损失为791.17±280.96毫升,其中94.64%发生在术后.
- 手术后的血红蛋白下降 (2.06 ± 0.74 g/dL) 显著高于手术期间的下降 (0.11 ± 0.06 g/dL).
- 高龄和男性性别是术后血红蛋白下降的显著预测因素;灌液和输注液没有显著影响.
结论:
- 手术后的血液流失和血红蛋白下降在肩膀关节镜检查后是相当大的.
- 仔细监测是必不可少的,特别是在老年男性患者.
- 对治疗术后出血的低分子量肝素等干预措施的进一步研究是有必要的.
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