腰椎椎间融合术后隐性失血的研究进展  

Progress on hidden blood loss after lumbar interbody fusion

作　　者：班正涛 刘汝专[2] BAN Zheng-tao;LIU Ru-zhuan(Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine,Nanning 530011,Guangxi,China)

机构地区：[1]广西中医药大学,广西南宁530001 [2]广西中医药大学附属瑞康医院,广西南宁530011

出　　处：《中国骨伤》2018年第11期1077-1080,共4页China Journal of Orthopaedics and Traumatology

摘　　要：腰椎椎间融合术是目前治疗腰椎疾病最常用的术式之一,但术后隐性失血量大,占总失血量的1/3甚至1/2以上,如不注意监测与治疗,则易引起贫血、延长卧床时间,从而增加感染的机会。本文就腰椎融合术后隐性失血可能发生的机制、影响因素、隐性出血量的计算、治疗方法进行综述,使术者对进行腰椎融合术的患者隐性失血量有一个正确的认识和评估,从而减少并发症的发生,对帮助患者顺利度过围手术期有着重要意义。Lumbar interbody fusion is one of the most commonly used surgical treatment of lumbar disease at present, but the hidden blood loss after surgery is large, accounting for 1/3 or even more than 1/2 of total blood loss. If not monitored and treated for the hidden blood, it can result in anemia and prolong bed time, thereby increasing the chance of infection. This pa- per summarizes the mechanism, influencing factors, calculation and treatment of hidden blood loss after lumbar fusion, so that the surgeon can have a correct understanding and evaluation of the hidden blood loss for the patients undergoing lumbar intervertebral fusion, and so as to reduce the occurrence of complications. This is very important for helping patients to pass perioperative period smoothly.

关 键 词：腰椎 椎间融合术 隐性失血 综述文献 

分 类 号：R687.3[医药卫生—骨科学]