全髋关节置换术后隐性失血围术期防治的研究进展  

Research progress of perioperative prevention and treatment of hidden blood loss after total hip arthroplasty

作　　者：张晓波 孙钰[2] ZHANG Xiao-bo;SUN Yu(Dalian Medical University,Dalian,Liaoning,116044,China)

机构地区：[1]大连医科大学,辽宁116044 [2]江苏省苏北人民医院,扬州225001

出　　处：《中国骨与关节杂志》2020年第9期679-683,共5页Chinese Journal of Bone and Joint

摘　　要：全髋关节置换术 (total hip arthroplasty,THA) 是治疗髋部骨性关节炎、股骨颈骨折以及髋部发育不良等髋部疾病终末期进展的有效方法[1]。目前由于肥胖、人口老龄化以及日常活动需求量增加等生活质量和结构上的改变,髋部疾病终末期进展的发生逐渐增多,THA 的应用也在逐年上升[2]。自 20 世纪 70 年代至今,现代 THA 发展日趋完善,能够较好地解决患者疼痛及功能受限的问题,提高患者的生活质量与满意度[1-2]。Hemoglobin decrease after total hip arthroplasty (THA) that does not correspond to the apparent blood loss is defined as hidden blood loss (HBL).HBL after THA is one of the risks that may induce severe anemia or related complications,which seriously affects postoperative recovery and prognosis.Its perioperative control strategy should integrate surgery,drugs,and blood management together to improved the prognosis.This review discusses the possible mechanism,influencing factors and comprehensive management strategies of the HBL after THA.

关 键 词：关节成形术 置换 髋 围术期 失血 手术 综述 

分 类 号：R687.4[医药卫生—骨科学]