Tsai R Y, Lai C H, Chan H L
Department of Dermatology, Taipei Municipal Wan-Fang Hospital, Taipei Medical College, Taiwan.
Dermatol Surg. 1998 Dec;24(12):1326-9. doi: 10.1111/j.1524-4725.1998.tb00008.x.
There are high risks from general anesthesia and excessive bleeding associated with traditional liposuction using the dry or wet method. The blood loss has been estimated to be between 15% and 45%. The tumescent technique permits liposuction of more than 3,000 ml of fat totally by local anesthesia without sedation. The blood loss is reported to be less than 1% of aspirate.
To examine the blood loss during liposuction using tumescent technique in Chinese patients compared with that of Caucasians as published in the literature.
Hemoglobin values of patient's preoperative venous blood and infranatant of aspirate were measured in 45 consecutive cases of liposuction using the tumescent technique from May 1996 to June 1997.
A total of 30 patients completed the study. The average blood loss was estimated to be 1.08% of aspirate.
From this study, we found the blood loss in Chinese patients is comparable with that in Caucasians. Tumescent liposuction is a safe dermatologic cosmetic surgical procedure without the need of blood transfusion and general anesthesia.
采用干性或湿性方法的传统抽脂术存在全身麻醉和出血过多的高风险。据估计，失血量在15%至45%之间。肿胀技术允许在无镇静的局部麻醉下完全抽脂超过3000毫升脂肪。据报道，失血量少于吸出物的1%。
与文献中报道的高加索人相比，研究中国患者采用肿胀技术抽脂时的失血量。
对1996年5月至1997年6月连续45例采用肿胀技术抽脂患者的术前静脉血和吸出物下层的血红蛋白值进行测量。
共有30例患者完成研究。估计平均失血量为吸出物的1.08%。
通过本研究，我们发现中国患者的失血量与高加索人相当。肿胀抽脂术是一种安全的皮肤美容外科手术，无需输血和全身麻醉。
