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抽脂术中的失血。

Blood loss during liposuction.

作者信息

Dolsky R L

机构信息

Department of Plastic and Reconstructive Surgery, Haverford Community Hospital, Pennsylvania.

出版信息

Dermatol Clin. 1990 Jul;8(3):463-8.

PMID:2379334
Abstract
  1. For every 100 cc of aspirate, the average blood content in the aspirate is 18% for females and 23.6% for males. 2. For every 100 cc of aspirate, the average total body blood loss is 37.6 cc for females and 123.2 cc for males. 3. For every 100 cc of aspirate, the average blood loss into the wound (third space loss) is 19.6 cc for females and 99.6 cc for males. 4. For every 100 cc of aspirate, the average decrease in absolute hematocrit is 0.38 for females and 0.88 for males. 5. Males have 3.03 times as much blood loss as females during liposuction. 6. A delay of 15 minutes between the injection of local epinephrine and the onset of liposuction will decrease blood loss by 21.9%. 7. The traditional French Illouz cannula and the American cobra cannula cause approximately the same amount of blood loss. 8. There is no difference in the amount of blood loss when the concentration of epinephrine is diluted from 1:200,000 to 1:400,000. 9. The dry technique resulted in 3.4 times as much bleeding compared with the techniques utilizing epinephrine solutions. 10. The surgeon cannot predict the exact blood loss in an individual patient undergoing liposuction. The results are quite variable from one patient to the next.
摘要
  1. 每100立方厘米抽吸物中,女性抽吸物的平均血液含量为18%,男性为23.6%。2. 每100立方厘米抽吸物中,女性的平均全身失血量为37.6立方厘米,男性为123.2立方厘米。3. 每100立方厘米抽吸物中,女性伤口内(第三间隙失血)的平均失血量为19.6立方厘米,男性为99.6立方厘米。4. 每100立方厘米抽吸物中,女性绝对血细胞比容的平均下降值为0.38,男性为0.88。5. 男性在抽脂过程中的失血量是女性的3.03倍。6. 局部注射肾上腺素与开始抽脂之间延迟15分钟可使失血量减少21.9%。7. 传统的法国伊卢兹套管和美国眼镜蛇套管造成的失血量大致相同。8. 肾上腺素浓度从1:200,000稀释到1:400,000时,失血量没有差异。9. 与使用肾上腺素溶液的技术相比,干法技术导致的出血量是其3.4倍。10. 外科医生无法预测抽脂个体患者的确切失血量。患者之间的结果差异很大。

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