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临床输血与检验

临床输血与检验 ›› 2019, Vol. 21 ›› Issue (1): 39-41.DOI: 10.3969/j.issn.1671-2587.2019.01.013

• 临床输血 • 上一篇    下一篇

骨科内固定手术后外周血象中血红蛋白值升高的研究

任丽, 骆群, 李晓莉, 王萌, 康树青   

  1. 100071 北京丰台右安门医院（任丽,李晓莉,王萌,康树青）;
    北京解放军第307医院（骆群）
  • 收稿日期:2018-08-19 出版日期:2019-02-20 发布日期:2019-01-28
  • 作者简介:任丽（1980-）,女,山东人,主管技师,学士,主要从事临床输血工作,（Tel）13811597681。

Study on The Variation of Hemoglobin in Patients with Orthopedic Internal Fixation Surgery

REN Li, LUO Qun, LI Xiao-li   

  1. You Anmen Hospital, Beijing 100071
  • Received:2018-08-19 Online:2019-02-20 Published:2019-01-28

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摘要： 目的 观察骨折内固定手术后红细胞、血红蛋白等数值变化,分析术中补液量对外周血象的影响。方法 选取8例骨折内固定手术患者,检测分析患者术后24 h、48 h或72 h红细胞、血红蛋白、白细胞、血小板等数值的变化。结果 8例骨折行复位固定术的患者术后24 h,48 h、72 h红细胞、血红蛋白有一定波动,术中液体量对红细胞、血红蛋白有稀释作用,术后24 h后红细胞、血红蛋白均明显升高。结论 骨科内固定术补液量对血红蛋白有一定的稀释作用,术后血红蛋白逐渐恢复正常。

关键词: 血红蛋白, 内固定手术, 红细胞

Abstract: Objective To observe the change of erythrocytes and hemoglobin after fractural internal fixation surgery and analyze the effect of volume of liquid infusion on peripheral blood of patients during operation. Methods The levels of red blood cells (RBCs), hemoglobin, white blood cells and platelets at 24h, 48h or 72h following operation were detected and analyzed in 8 patients. Results The number of RBCs and concentration of hemoglobin were fluctuated on 24h, 48h, and 72h post-operation. The volume of infusion on operation had impact on the RBCs count and concentration of hemoglobin due to the blood dilution within 48h-72h, which increased significantly after 24h post-operation. Conclusions The volume of fluid infusion in orthopedic patients has a diluted effect on RBCs and hemoglobin but may gradually recover after operation.

Key words: Hemoglobin, Internal fixation surgery, Red blood cells

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