髋关节置换术后隐性失血的新进展
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作者Author单位AddressE-Mail
袁磊 YUAN Lei 南京大学医学院附属金陵医院骨科, 江苏 南京 210000 Department of Orthopaedics, Jinling Hospital Affiliated to Medical School of Nanjing University, Nanjing 210000, Jiangsu, China  
包倪荣 BAO Ni-rong 南京大学医学院附属金陵医院骨科, 江苏 南京 210000 Department of Orthopaedics, Jinling Hospital Affiliated to Medical School of Nanjing University, Nanjing 210000, Jiangsu, China  
赵建宁 ZHAO Jian-ning 南京大学医学院附属金陵医院骨科, 江苏 南京 210000 Department of Orthopaedics, Jinling Hospital Affiliated to Medical School of Nanjing University, Nanjing 210000, Jiangsu, China zhaojianning.0207@163.com 
期刊信息:《中国骨伤》2015年,第28卷,第4期,第378-382页
DOI:10.3969/j.issn.1003-0034.2015.04.020
基金项目:江苏省临床医学科技专项资助(编号:BL2012002)
中文摘要:人工髋关节置换术(total hip arthroplasty,THA)是目前髋关节终末疾病的重要治疗手段。术后常存在大量隐性失血,严重影响患者的术后康复。如何从根本上预防和减少THA术后隐性失血量,是亟待解决的问题。麻醉、年龄、性别、体重指数及抗凝药物的使用是THA手术失血的潜在因素,但其隐性失血的发生机制仍然不清。氨甲环酸在预防围手术期失血中的作用显着,今后有必要对隐性失血与纤溶机制的关联性进行证实,这对完善隐性失血的发生机制具有积极的意义。
【关键词】关节成形术,置换,髋  手术后出血  综述文献
 
Progress on hidden blood loss after hip replacement
ABSTRACT  Total hip arthroplasty(THA) is a vital therapeutic tool for hip terminal disease. Frequently, hidden blood loss exists in the postoperation, which seriously affect the postoperative rehabilitation of patients. It is urgent need to solve the problem that how to fundamentally prevent and reduce hidden blood loss after THA. Although THA has its own operational reason in blood loss, and also relates to a variety of risk factors, the mechanism of hidden blood loss is not clear. Tranexamic acid has a significant role in preventing perioperative blood loss, and the correlation of hidden blood loss and fibrinolytic mechanism would be confirm necessarily in the future, which will produce positive significance in completing the mechanism of hidden blood loss.
KEY WORDS  Arthroplasty,replacement,hip  Postoperative hemorrhage  Review literature
 
引用本文,请按以下格式著录参考文献:
中文格式:袁磊,包倪荣,赵建宁.髋关节置换术后隐性失血的新进展[J].中国骨伤,2015,28(4):378~382
英文格式:YUAN Lei,BAO Ni-rong,ZHAO Jian-ning.Progress on hidden blood loss after hip replacement[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(4):378~382
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