红细胞压积水平与手术预后的关系:观察的把握度
Hematocrit Level and Postsurgical Outcome:Power of Observation
摘要
在JAMA杂志中,Wu及其同事报告了行非心脏大手术的退伍军人(多为男性)术前红细胞压积水平与术后不良事件的关系。该队列研究结果显示,对于多数男性患者而言,红细胞压积高于或低于正常水平均与术后早期死亡和心脏事件发生危险增加相关。作者建议,今后的研究应进一步评估通过纠正贫血或红细胞增多症来降低术后不良事件危险的影响。
出处
《美国医学会杂志(中文版)》
2008年第1期50-51,共2页
The Journal of the American Medical Association(Chinese Edition)
参考文献9
-
1Wu WC, Sehifftner TL, Henderson WG, et al. Preoperative hematoerit levels and postoperative outcomes in older patients undergoing noneardiac surgery. JAMA. 2007 ;297:2481-2488.
-
2Koepsell TD, Weiss NS. Epidemiologic Methods : Studying the Occurrence of Illness. Oxford, England : Oxford University Press ; 2003.
-
3Bracey AW, Radovancevic R, Riggs SA, et al. Lowering the hemoglobin threshold for transfusion in coronary artery bypass procedures : effect on patient outcome. Transfusion. 1999 ;39 : 1070-1077.
-
4Johnson RG, Thurer RL, Kruskall MS, et al. Comparison of two transfusion strategies after elective operations for myocardial revascularization. J Thorac Cardiovasc Surg. 1992 ; 104:307-314,
-
5Hebert PC, Wells G, Blajchman MA, et al, Transfusion Requirements in Critical Care Investigators, Canadian Critical Care Trials Group. A multicenter, randomized, controlled clinical trial of transfusion requirements in critical care. N Engl J J PMed. 1999 ;340:409-417.
-
6Hebert PC, Yetisir E, Martin C, et al. Is a low transfusion threshold safe in critically ill patients with cardiovascular diseases? Crit Care Med. 2001;29: 227 -234.
-
7Lacroix J, Hebert PC, Hutchison JS, et al. Transfusion strategies for patients in pediatric intensive care units. N Engl J Med. 2007; 356: 1609- 1619.
-
8McIntyre LA, Fergusson DA, Hutchison JS, et al. Effect of a liberal versus restrictive transfusion strategy on mortality in patients with moderate to severe head injury. Neurocrit Care. 2006 ;5:4-9.
-
9Besarab A, Bolton WK, Browne JK, et al. The effects of normal as compared with low hematocrit values in patients with cardiac disease who are receiving hemodialysis and epoetin. N Engl J Med. 1998 ;339:584-590.
-
1唐丽玲.重症肌无力术后并发肌无力危象的原因分析及护理[J].齐鲁护理杂志,2002,8(5):358-359.
-
2于湧.术前凝血试验的价值:非心脏大手术的重新评价[J].国外医学(外科学分册),2003,30(4):238-238. 被引量:3
-
3陈桂花,史超,王玮璠.感染性心内膜炎的术前和术后护理[J].中国临床保健杂志,2013,16(5):527-528.
-
4董玲.研究预见性护理与常规护理在VATS心脏手术患者中的作用[J].世界最新医学信息文摘,2015,0(79):234-234.
-
5张新平,张勇.通心络对急性心肌梗死患者置入支架后远期疗效的影响[J].中国药物与临床,2009,9(3):243-244. 被引量:6
-
6最新临床证据[J].新疆医科大学学报,2010,33(6):616-616.
-
7工作压力会诱发心梗[J].家庭医药(就医选药),2005(4):32-32.
-
82010年最新临床证据[J].中国全科医学,2010,13(24):2676-2676.
-
9工作压力会诱发心梗[J].中国农村医学杂志,2005,3(6):28-28.
-
10劳秀娟.品管圈对提高消化科住院患者健康宣教知晓率的作用[J].中医药管理杂志,2016,24(5):133-134. 被引量:4