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术中失血的计算方法:文献综述

Calculation methods for intraoperative blood loss: a literature review.

作者信息

Lin Yi-Min, Yu Chao, Xian Guo-Zhe

机构信息

Department of Hepatobiliary Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324 Jingwu Road, Jinan, Shandong, 250021, China.

Department of Emergency Surgery, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, No. 42 West Wenhua Road, Jinan, Shandong, 250011, China.

出版信息

BMC Surg. 2024 Dec 20;24(1):394. doi: 10.1186/s12893-024-02699-3.

Abstract

Intraoperative bleeding is a common issue in various surgical procedures, and the extent of bleeding significantly impacts the safety, efficacy, and prognosis of surgery. Therefore, accurate assessment of intraoperative blood loss and timely intervention are essential for the smooth progression of surgery and favorable clinical outcomes. Currently, clinical methods for estimating blood loss are generally classified into two main categories: visual and calculation methods. Calculation methods are further delineated into weighing techniques and concentration-based approaches. Although the visual method is criticized for its subjectivity and inaccuracy, it remains the most widely used approach in clinical practice for assessing intraoperative blood loss. This article reviews different methods for assessing blood loss during surgery and compares their respective advantages and disadvantages, aiming to provide surgeons with a more reliable foundation for intraoperative blood loss evaluation.

摘要

术中出血是各类外科手术中常见的问题,出血程度对手术的安全性、有效性及预后有显著影响。因此,准确评估术中失血量并及时干预对于手术的顺利进行和良好的临床结局至关重要。目前,临床估计失血量的方法一般主要分为两大类:视觉法和计算法。计算法又进一步分为称重技术和基于浓度的方法。尽管视觉法因主观性和不准确而受到批评,但它仍是临床实践中评估术中失血量最广泛使用的方法。本文综述了手术中评估失血量的不同方法,并比较了它们各自的优缺点,旨在为外科医生提供更可靠的术中失血量评估依据。

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