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骨科手术止血带

Surgical tourniquets in orthopaedics.

作者信息

Noordin Shahryar, McEwen James A, Kragh John F, Eisen Andrew, Masri Bassam A

机构信息

Section of Orthopaedics, Department of Surgery, Aga Khan University, Stadium Road, Karachi, Pakistan.

出版信息

J Bone Joint Surg Am. 2009 Dec;91(12):2958-67. doi: 10.2106/JBJS.I.00634.

Abstract

Higher levels of tourniquet pressure and higher pressure gradients beneath tourniquet cuffs are associated with a higher risk of nerve-related injury. Measurement of limb occlusion pressure can help to minimize tourniquet pressure levels and pressure gradients for individual patients and individual surgical procedures. Selective use of pneumatic, wider, and contoured tourniquet cuffs reduces tourniquet pressure levels and the applied pressure gradients.

摘要

更高的止血带压力以及止血带袖带下方更高的压力梯度与更高的神经相关损伤风险相关。测量肢体闭塞压力有助于为个体患者和个体手术程序将止血带压力水平和压力梯度降至最低。选择性使用气动、更宽且贴合身体轮廓的止血带袖带可降低止血带压力水平和所施加的压力梯度。

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