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影响手术内输血的因素 在双轴正视手术中影响手术内输血的因素
C Topan1, A-E Demirbas, F Doğruel
1Erciyes University Faculty of Dentistry Melikgazi, Kayseri, Turkey cihantopan@hotmail.com.
Medicina oral, patologia oral y cirugia bucal
|August 16, 2025
概括
经历更高的手术内流血的骨头外科手术患者通常是男性,年龄在24岁以上,超重或手术持续时间较长. 血红蛋白和血小板计数等血液学因素也会影响出血风险.
科学领域:
- 口腔和牙面部外科手术
- 手术瘤学手术瘤学
- 麻醉学 麻醉学
背景情况:
- 整形手术的目的是纠正部异常.
- 在复杂的外科手术过程中,手术期间流失的血液是一个很大的问题.
- 识别失血的危险因素对于患者的安全至关重要.
研究的目的:
- 调查手术期间输血的人口,手术和血液学风险因素.
- 为了识别患者和程序特征,与增加的出血在整形外科手术.
主要方法:
- 追溯分析了400名接受双轴直视手术的患者.
- 对人口统计,手术和血液学数据的统计分析.
- 相关性分析以确定变量与血液损失之间的关系.
主要成果:
- 男性性别,年龄≥25岁,患者体重增加,以及更长的手术持续时间与更高的血液损失相关.
- 血小板 (PLT) 计数与失血有负相关性 (r=-0.213).
- 血红细胞体积与血小板比率 (MPV/PLT) 和血红蛋白 (HGB) 水平的平均值与出血有正相关.
结论:
- 年龄,性别,身体质量和手术持续时间是 ортогнатик手术中手术内出血的重要危险因素.
- 男性,24岁以上的患者,超重个体和经历长期手术的人面临更高的出血风险.
- 升高的HGB,低的PLT计数和低的MPV/PLT比率与增加的血液损失有关.
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