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髋部手术围手术期隐性失血的研究进展

Hits: 1739 Download times: 1045 Received:November 06, 2013

作者	Author	单位	Unit	E-Mail
李顺东	LI Shun-dong	台州市中医医院骨科, 浙江台州 318000
许超	XU Chao	浙江中医药大学附属第二医院骨科, 浙江杭州 310005	Department of Orthopaedics, the Second Affiliated Hospital of Zhejiang Traditional Chinese Medicine University, Hangzhou 310005, Zhejiang, China	docxuchao@126.Com
童培建	TONG Pei-jian	浙江中医药大学附属第一医院骨科, 浙江杭州 310006

期刊信息：《中国骨伤》2014年27卷，第10期，第882-886页

DOI：10.3969/j.issn.1003-0034.2014.10.020

基金项目:浙江省科技厅中西医结合骨关节病研究科技创新团队项目（编号：2011R50022-05）

髋部骨折的患者术前、术后均存在隐性失血，且常影响患者伤口的愈合，使感染概率增加，康复锻炼时间延长，影响术后疗效。同时，机体失血量的增加激发了血液的凝血机制，促进了深静脉血栓形成的发生，出血和深静脉血栓已成为髋部手术高风险的主要原因。止血非常重要，抗凝亦不容忽视，因此，如何有效地处理术后抗凝和止血这一突出矛盾或从中寻找一个最佳的平衡点已成为髋部骨折治疗的棘手问题。

[关键词]:髋骨折手术期间隐性失血综述文献

Progress on peri-operative hidden blood loss after hip fracture

Abstract:Hip fracture patients preoperative and postoperative exist hidden blood loss which often affect patients' wound healing,increase the probability of infection,prolong rehabilitation exercise,influence postoperative effect. At the same time,the body's blood loss increase the activation of the blood clotting mechanism,promote the incidence of deep vein thrombosis,bleeding and deep vein thrombosis has become the main causes of high risk in hip operation. It is very important to stop bleeding,anticoagulation should not be ignored,so how to effectively deal with the prominent contradiction between the postoperative anticoagulation and bleeding or looking for a best balance has become a intractable problems in hip fracture treatment.

KEYWORDS:Hip fractures Intraoperative period Hidden blood loss Review literature

引用本文，请按以下格式著录参考文献：

中文格式:	李顺东,许超,童培建.髋部手术围手术期隐性失血的研究进展[J].中国骨伤,2014,27(10):882~886
英文格式:	LI Shun-dong,XU Chao,TONG Pei-jian.Progress on peri-operative hidden blood loss after hip fracture[J].zhongguo gu shang / China J Orthop Trauma ,2014,27(10):882~886

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