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人工髋关节置换术输异体全血致急性肝损害一例

Hits: 1904 Download times: 1181 Received:September 10, 2002

作者	Author	单位	Unit	E-Mail
侯进才	HOU Jincai	中国中医研究院望京医院麻醉科,北京,100102

期刊信息：《中国骨伤》2003年16卷，第4期，第250-250页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

患者女性,62岁,体重52kg,因左股骨颈骨折行人工股骨头置换术,既往有支气管扩张病史30年,肺气肿,无肝炎病史。入院检查:血型“O”型,WBC5.8×10⁹/L,RBC3.66×10¹²/L,HGB103g/L,HCT0.331,PLT19l×10⁹/L,GPT10.0IU/L,GOT16.0IU/L,TP83.1g/L,GLT46.0g/L,A/G0.80,GLU6.40mmol/L,乙肝五项均阴性,丙肝抗体阴性。入手术室常规监测BP130/75mmHg（1mmHg=0.133kPa）,HR90次/分,SPO₂97％,T37.0℃。于L_3,4穿刺行腰麻硬膜外联合麻醉,阻滞平面T₁₁-S₅。术中因血压下降静点麻黄素10mg2次;氟芬合剂1ml（氟派啶1.25mg加芬太尼0.025mg）,立止血1ku,艾司洛尔60mg,地塞米松10mg。手术95min,术中出血约500ml,尿量170ml,补充乳酸钠林格氏液1000ml,血定安500ml,补异体“O”型全血200ml（已保存1周）。

[关键词]:髋假体输血肝损伤

Acute liver injury caused by blood transfusion in the joint replacement of the hip: A case re- port

KEYWORDS:Hip prosthesis Blood transfusion Liver injuries

引用本文，请按以下格式著录参考文献：

中文格式:	侯进才.人工髋关节置换术输异体全血致急性肝损害一例[J].中国骨伤,2003,16(4):250
英文格式:	HOU Jincai.Acute liver injury caused by blood transfusion in the joint replacement of the hip: A case re- port[J].zhongguo gu shang / China J Orthop Trauma ,2003,16(4):250

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