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巨大子宫肌瘤患者围手术期血栓出血性疾病的诊断与纠正

DIAGNOSTICS AND CORRECTION OF THROMBOHEMORRHAGIC DISORDERS IN PATIENTS WITH GIANT UTERINE MYOMA AT THE PERIOPERATIVE STAGE OF TREATMENT.

作者信息

Tarabrin O A, Tyutrin I I, Gavrichenkov D G, Shcherbakov S S, Mazurenko A I, Turenko A V

出版信息

Anesteziol Reanimatol. 2016 Nov;61(6):450-453.

Abstract

The aim of the study was to reduce perioperative blood loss in patients with giant uterine myoma. As a result of studies have provided evidence that the use of anti fibrinolytic therapy as intravenous infusion of tranexamic acid for 30 minutes before the surgery in a dose of 20 mg/kg followed by infusion of 5 mg/kg per hour for the first postoperative day, helped to reduce perioperative blood loss by 29%. Hemoglobin level was higher by 10% (p < 0,05), blood loss was lower by 29% (p < 0,05), the length of stay in hospital was reduced by 24% (p < 0,05) in patients of the second group on the second postoperative day.

摘要

该研究的目的是减少巨大子宫肌瘤患者围手术期的失血。研究结果表明,术前30分钟静脉输注氨甲环酸进行抗纤溶治疗,剂量为20mg/kg,术后第一天每小时输注5mg/kg,有助于将围手术期失血量减少29%。术后第二天,第二组患者的血红蛋白水平提高了10%(p<0.05),失血量减少了29%(p<0.05),住院时间缩短了24%(p<0.05)。

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