Ishii Yoshinori, Noguchi Hideo, Matsuda Yoshikazu, Takeda Mitsuhiro, Higashihara To-ichi
Ishii Orthopaedic and Rehabilitation Clinic, 1089 Shimo-Oshi, Gyoda, Saitama, Japan.
Arch Orthop Trauma Surg. 2008 Mar;128(3):297-300. doi: 10.1007/s00402-007-0446-0. Epub 2007 Sep 15.
This study reports the results of the clinical use of a new tourniquet system for surgery of the lower extremity that can determine tourniquet pressure in synchrony with systolic blood pressure.
We prospectively applied additional pressure of 100 mmHg during 100 surgical procedures (54 knees, 2 legs, 44 feet and ankles).
A bloodless surgical field was obtained in almost all patients. The average durations of surgery and tourniquet time were 50 and 51 min, respectively. The average initial blood pressures were 112 mmHg systolic and 60 mmHg diastolic. The average maximum pressure changes during surgery were 33 mmHg systolic and 21 mmHg diastolic. No complications associated with this system arose either during or after surgery.
The conventional tourniquet pressure in the lower extremity is 300 or 350 mmHg, whereas this synchronized system required less pressure, making it a safe, useful device for controlling a bloodless surgical field in lower extremity surgery.
本研究报告了一种用于下肢手术的新型止血带系统的临床使用结果，该系统可与收缩压同步确定止血带压力。
我们在100例外科手术（54例膝关节、2条腿、44例足和踝关节手术）中前瞻性地施加了100 mmHg的额外压力。
几乎所有患者均获得了无血手术视野。手术平均时长和止血带使用时间分别为50分钟和51分钟。平均初始血压为收缩压112 mmHg和舒张压60 mmHg。手术期间收缩压和舒张压的平均最大压力变化分别为33 mmHg和21 mmHg。手术期间及术后均未出现与该系统相关的并发症。
下肢传统止血带压力为300或350 mmHg，而这种同步系统所需压力较小，使其成为下肢手术中控制无血手术视野的安全、有用设备。
Zotero 插件