腰椎间盘突出症术后血液流变学变化及机理  

HEMORHEOLOGICAL CHANGES AND MECHANISM AFTER OPERATION

作　　者：赵长庚 曲春杰[1] 范家骏[2] 周永刚 张永刚 

机构地区：[1]沈阳解放军202医院,11003 [2]西安第四军医大学物理学教研室

出　　处：《中国血液流变学杂志》1994年第4期36-37,共2页Chinese Journal of Hemorheology

摘　　要：检测腰椎间盘突出症手术前后１１项参数进行自身配对比较，表明术后病人血液流变学的变化主要是由于手术创伤的应激反应和术中出血失水等引起全血粘度升高与输血补液，组织水分重新分布导致的全血粘度下降两方面因素综合作用的结果。提示外科手术应“欠量”输血，以晶体、胶体液补充血容量，维持低ＨＣＴ状态是有益的。Eleven hemorheological parameters of the patients with lumbar disc herniation were measured prior to and arter discectomy. They were tested with self control - paired method. It shows that the postoperative hemorheological changes mainly result from the balance between the increase of whole blood viscosity due to the operative trauma stress .the loss of blood and fluid,and the decrease caused by the fluid infusion and the tissue fluid redistribution. These findings seem to indicate that the transfusion volume should be more insufficient rather than equivalent to the blood loss, the blood volume should be replaced by crystalloid and colloidal solutions to keep a low HCT which is beneficial to the patients.

关 键 词：血液流变学 腰椎间盘出症 手术 

分 类 号：R687.3[医药卫生—骨科学]