胸科手术与血粘度关系初探  

RELATION SHIP BETWEEN THORACIC SURGERY AND BLOOD VISCOSITY

作　　者：侯维平[1] 曲家骐[1] 王旭[2] 冯丽雅 

机构地区：[1]沈阳军区总医院胸外科,沈阳110015 [2]沈阳军区总医院检验科,沈阳110015 [3]沈阳军区总医检验科,沈阳110015

出　　处：《中国血液流变学杂志》2000年第1期37-39,共3页Chinese Journal of Hemorheology

摘　　要：目的：为探讨开胸手术对血粘度变化的影响。方法：１０８例开胸手术 患者，分为恶性病变组６８例和良性病变组４０例，分别于术前、术后第１天、第３天 及第５天晨做了血液流变学检测。结果：两组术前与术后第１天比较各项检查指 标均无显著性差异，术前与术后第３天。第５天比较，以及术后第１天与第３天、第 ５天分别比较，均是只有血沉一项差异非常显著（Ｐ＜０．０１）。两组间分别比较，各 项指标差异均不显著。结论：开胸手术后对血粘度变化的影响不大，对胸科手术病 人预防术后发生肺动脉栓塞，不一定要常规地给予预防性抗凝等治疗，而应该根据 病人具体情况考虑治疗方案。Aim: evaluate the affection of boold viscosity during thoracic surgery. Methods: On 108 patients were performed thoracic surgery, which included 2 groups of 68 cases with malignent diseases and 40 cases with benign diseases. Blood viscosity examination preoperation were perfomed, the first day, the third day and the fifth day postoperation respectively. Results: There were no significant difference between preoperation and the third day, the fifth day postoperation or the first day and the third day, the fifth day postoperation (P < 0.01). There was no sighficant difference between 2 groups. Conclusion: Thoracic surgery doesn' t affect blood viscosity of patients. The anticoagulative drugs are not necessary to protect pulmonary embolism postoperation. We should select treatment according to the patients concrete conditions.

关 键 词：胸外科手术 血粘度 相关性 

分 类 号：R655[医药卫生—外科学]