股骨粗隆间骨折Gamma3钉内固定的隐性失血分析  

Analysis of Hidden Blood Loss in Intertrochanteric Femur Fracture Treated with Gamma3

作　　者：邓文广[1] 许超[2] 何滨[2] 李顺东[1] 

机构地区：[1]浙江中医药大学第二临床医学院,杭州310053 [2]浙江中医药大学附属第二医院骨科

出　　处：《中国中医骨伤科杂志》2013年第4期12-14,共3页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:探讨Gamma3钉治疗股骨粗隆间骨折隐性失血的特点、机制、影响因素。方法:回顾性研究本院2010年-2012年采用Gamma3钉手术治疗股骨粗隆间骨折患者22例:其中男12例,女10例;年龄46～92岁,平均74.9岁。入选病人均为初次患病,24h补液量不超过2000mL,排除严重内科疾病、自身免疫性疾病患者。根据患者身高、体重以及手术前后的红细胞压积(Hct)、血红蛋白(Hb),使用Gross方程计算出隐性失血量。结果:所有患者平均隐性失血量为679.1mL,占总失血量的82.8%,是显性失血量的4.8倍。结论:Gamma3钉手术切口小、时间短,但也存在严重的隐性失血,应引起临床医师重视,积极防治。Objective： To explore the characteristics, mechanisms and influence factors of the hidden blood loss following surgery for intertrochanterie femur fracture using the Gamma 3 intramedullary nail. Methods：Retrospectively analyzed 22 cases with intertroehanteric femur fracture which were treated with Gamma 3 intramedullary nail from Sept. 2010 to Feb. 2012, including 12 males and 10 females, with an average age of 74.9 years （ranging 46-92 years）. All the patients were initial illness, and 24h infusion volume was not more than 2000ml. The patients of serious medical illness and autoimmune- diseases were excluded. The amount of hidden blood loss was calculated by Gross formula accorcling to the height, weight, hematocrit and hemoglobin before and after surgery. Results： The mean amount of hidden blood loss was 679.1 ml （82. 8%）, which was 4.8 times of the dominant blood loss. Conclusion： The Gamma 3 intramedullary nail for treatment of intertrochanteric femur fractures has a small incision and short time, but there is serious hidden blood loss, which should be attracted the attention of the clinician to prevent and treat actively.

关 键 词：Gamma3钉 股骨粗隆间骨折 隐性失血 贫血 

分 类 号：R683.42[医药卫生—骨科学]