期刊文献+

DHS与PFNA手术治疗股骨粗隆间骨折的显性与隐性失血比较 预览 被引量:10

Comparison of Dominant and Hidden Blood Loss in the Treatment of Femoral Intertrochanteric Fractures with DHS and PFNA
在线阅读 免费下载
收藏 分享 导出
摘要 目的:比较DHS与PFNA两种内固定手术方式治疗股骨粗隆间骨折的显性与隐性失血情况。方法:选取2011年10月-2014年10月本院收治的股骨粗隆间骨折患者58例,其中28例患者应用DHS内固定术,30例患者应用PFNA内固定术治疗。结果:两组患者术前均备添加红细胞4 U术中用,DHS组术中显性失血量约(273±137)ml,术后引流显性失血量(136±38)ml,隐性失血量(239±83)ml,总失血量(793±68)ml,PFNA组术中显性失血量约(116±34)ml,术后隐性失血量(628±96)ml,总失血量(776±73)ml。两组患者显性失血DHS组明显高于PFNA组,隐性失血PFNA组明显高于DHS组,差异均有统计学意义(P〈0.01),总失血量无明显差异(P〉0.05)。结论:通过对DHS与PFNA两种手术方式术后显性与隐性失血量的对比,术后股骨粗隆间骨折患者需密切观察失血情况,特别重视PFNA术后隐性失血的观察及预防。 Objective: To compare dominant and hidden blood loss in the treatment of femoral intertroehanteric fractures with DHS and PFNA two kinds of internal fixation operation mode.Method: From October 2011 to October 2014 in our hospital 58 cases of femoral intertrochanteric fractures were treated, 28 cases were treated with DHS internal fixation, 30 cases were treated with PFNA internal fixation.Result: Add red blood cell 4 U was prepared in operation for two groups, the dominant blood loss in DHS group was ( 273 ± 137 ) ml, the dominant blood loss after operation was drainaged ( 136 ± 38 ) ml, the hidden blood loss after operation was ( 239 ± 83 ) ml, the total blood loss was ( 793±68 ) ml, the dominant blood loss in PFNA group was ( 116± 34 ) ml, the hidden blood loss after operation was ( 628 ±96 ) ml, the total blood loss was ( 776 ± 73 ) ml.The dominant blood loss in DHS group was significantly higher than that in PFNA group, the hidden blood loss in PFNA group was significantly higher than that in DHS group, there were significant differences ( P〈0.01 ) .But the total blood loss of two groups was not obvious difference ( P〉0.05 ) .Conclusion: The dominant and hidden blood loss are compared to DHS and PFNA two kinds of operation mode, the postoperative patients with femoral intertroehanterie fracture need to closely observe the patient's blood loss and pay special attention to observation and prevention of the hidden blood loss after PFNA.
作者 叶颂霖 刘海亮 YE Song-lin, LIU Hai-liang.
出处 《中国医学创新》 CAS 2016年第12期137-140,共4页 Medical Innovation of China
关键词 动力髋螺钉 股骨近端防旋髓内钉 股骨粗隆间骨折 显性失血 隐性失血 Dynamic hip screw Proximal femoral nail anti-rotation Femoral intertrochantericfracture Dominant blood loss Hidden blood loss
  • 相关文献

参考文献18

二级参考文献90

共引文献272

同被引文献125

引证文献10

二级引证文献17

投稿分析
职称考试

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部 意见反馈