妇科手术与出血处理。

Gynecologic surgery and the management of hemorrhage.

机构信息

Department of Obstetrics and Gynecology, Saint John's Health Center, University of California Los Angeles School of Medicine, 1450 Tenth Street, Santa Monica, Los Angeles, CA 90401, USA.

出版信息

Obstet Gynecol Clin North Am. 2010 Sep;37(3):427-36. doi: 10.1016/j.ogc.2010.05.003.

DOI:10.1016/j.ogc.2010.05.003

PMID:20674784

Abstract

Surgical blood loss of more than 1000 mL or blood loss that requires a blood transfusion usually defines intraoperative hemorrhage. Intraoperative hemorrhage has been reported in 1% to 2% of hysterectomy studies. Preoperative evaluation of the patient can aid surgical planning to help prevent intraoperative hemorrhage or prepare for the management of hemorrhage, should it occur. To this effect, the medical and medication history and use of alternative medication must be gathered. This article discusses the methods of preoperative management of anemia, including use of iron, recombinant erythropoietin, and gonadotropin-releasing hormone agonists. The authors have also reviewed the methods of intraoperative and postoperative management of bleeding.

摘要

手术失血超过 1000 毫升或需要输血的失血通常定义为术中出血。在子宫切除术研究中，有 1%至 2%的患者报告有术中出血。对患者进行术前评估可以帮助手术计划，有助于预防术中出血或在发生出血时做好出血管理的准备。为此，必须收集病史和用药史以及替代药物的使用情况。本文讨论了贫血的术前管理方法，包括使用铁、重组促红细胞生成素和促性腺激素释放激素激动剂。作者还回顾了术中及术后出血的管理方法。