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全关节置换和失血量:最佳方程是什么?

Total joint replacement and blood loss: what is the best equation?

机构信息

Department of Orthopaedic and Reconstructive Surgery, Clinical Orthopaedic Research Centre, Service A, Cochin Teaching Hospital, Paris School of Medicine, 27 rue du Faubourg Saint Jacques, 75014, Paris, France.

出版信息

Int Orthop. 2013 Apr;37(4):735-9. doi: 10.1007/s00264-013-1801-0. Epub 2013 Feb 6.

DOI:10.1007/s00264-013-1801-0
PMID:23385607
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3609988/
Abstract

With the population aging, total joint replacements which are an effective method to restore patient's mobility are an increasing necessity. However, such operations are known to entail serious blood loss, which may have dramatic consequences in patients with chronic diseases or when the prosthesis is revised, a situation where the blood loss is even higher. Therefore, formulas to better estimate the blood loss are available. These formulas may also be used for clinical studies to compare blood loss between different joint replacement techniques. The aim of this review is to provide a clear understanding of the formulas and to help physicians to further improve their blood loss estimation. Moreover, surgeons will then be able to choose the most accurate and user-friendly formula for more comparable data between clinical studies.

摘要

随着人口老龄化,全关节置换术作为一种恢复患者活动能力的有效方法变得越来越有必要。然而,众所周知,此类手术会导致严重失血,而对于患有慢性疾病的患者或需要翻修假体的患者,失血情况更为严重。因此,目前已有更好地估计失血量的公式。这些公式也可用于临床研究,以比较不同关节置换技术之间的失血量。本文综述的目的是提供对这些公式的清晰理解,帮助医生进一步提高失血量的估计能力。此外,外科医生将能够选择最准确和易于使用的公式,以便在临床研究中获得更具可比性的数据。

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Knee. 2012 Oct;19(5):606-10. doi: 10.1016/j.knee.2011.11.006. Epub 2011 Dec 23.
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Prediction of blood volume in normal human adults.正常成年人血容量的预测。
Surgery. 1962 Feb;51(2):224-32.
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Topical application of tranexamic acid reduces postoperative blood loss in total knee arthroplasty: a randomized, controlled trial.氨甲环酸局部应用减少全膝关节置换术后失血:一项随机对照试验。
J Bone Joint Surg Am. 2010 Nov 3;92(15):2503-13. doi: 10.2106/JBJS.I.01518.
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Computer-assisted surgery can reduce blood loss after total knee arthroplasty.计算机辅助手术可减少全膝关节置换术后的失血量。
Knee Surg Sports Traumatol Arthrosc. 2009 Apr;17(4):356-60. doi: 10.1007/s00167-008-0683-y. Epub 2008 Dec 16.
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J Bone Joint Surg Am. 2008 Jul;90(7):1598-605. doi: 10.2106/JBJS.H.00067.
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Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030.2005年至2030年美国初次和翻修髋关节与膝关节置换术的预测。
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J Bone Joint Surg Br. 2007 Mar;89(3):306-9. doi: 10.1302/0301-620X.89B3.17565.
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