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肝叶切除术前常规凝血试验价值的评估

The appraisal of value of preoperative coagulation tests before liver resection
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摘要 目的 评价肝叶切除术患者术前凝血试验的价值。方法 复习 79例行肝叶切除术患者的术前血小板计数 ,凝血酶原时间和活性部分凝血活酶时间 ,有任一项异常者归入病例组 ,正常者归入对照组 ,比较病例组和对照组之间的术中失血量、输血量和手术时间。结果 统计分析表明两组病例之间的术中失血量、输血量和手术时间无差异。结论 术前凝血试验常不能预计术中失血量 ,术前常规凝血试验的预约应结合病史、临床体检和患者的具体情况来综合评估加以指导。 Objective To evaluate preoperative coagulation testing in patients underwent liver resections. Methods The data of platelet count,prothrombin time,and activated partial thromboplastin time in 79 patients who had undergone liver resections were retrospectively reviewed. The patients were classified into two groups: “case” group with any abnormal test results,and control group with normal ones. The blood loss during operation,blood transfusion and operation duration were compared between the two groups. Results There was no significant difference between the two groups in terms of blood loss,blood transfusion and operation duration. Conclusion Preoperative coagulation tests have no relationship with blood lost during operation. The application of preoperative coagulation tests liver resection should be consulted with patient’s history,clinical test and individual conditions.
出处 《安徽医科大学学报》 CAS 2004年第2期158-160,共3页 Acta Universitatis Medicinalis Anhui
关键词 肝叶切除术 常规凝血试验 评估 血小板计数 失血 platelet count prothrombin time hepatectomy blood loss, surgical
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