Charrois O, Kahwaji A, Vastel L, Rosencher N, Courpied J P
Departments of Orthopaedic and Traumatologic Surgery, Hôpital Cochin, 27, rue du Faubourg St Jacques, 75014 Paris, France.
Int Orthop. 2001;25(1):22-4. doi: 10.1007/s002640000210.
We studied the perioperative blood loss in 100 total hip arthroplasties performed for rapidly destructive coxarthrosis and compared it with the blood loss in 100 total hip arthroplasties for regular coxarthrosis. The treatment protocol was identical in both groups. Total blood loss was calculated as the compensated blood loss (volume transfused during and immediately after surgery) and the non-compensated blood loss using Nadler and Mercuriali formula. The mean blood loss calculated in milliliters of red blood cells (100% haematocrit) was 578 ml in regular coxarthrosis and 945 ml in rapidly destructive coxarthrosis. The blood loss after total hip arthroplasty is greater when surgery is performed for rapidly destructive coxarthrosis than for regular coxarthrosis (P < 0.001).
我们研究了100例因快速破坏性髋关节炎行全髋关节置换术的围手术期失血量，并将其与100例因普通髋关节炎行全髋关节置换术的失血量进行比较。两组的治疗方案相同。总失血量计算为补偿性失血量（手术期间及术后立即输注的血量）和使用Nadler和Mercuriali公式计算的非补偿性失血量。以红细胞毫升数（100%血细胞比容）计算的平均失血量，普通髋关节炎患者为578毫升，快速破坏性髋关节炎患者为945毫升。因快速破坏性髋关节炎行全髋关节置换术时的失血量大于因普通髋关节炎行手术时的失血量（P < 0.001）。
