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骨椎体、椎骶肿瘤手术患者血栓弹力图检测结果与围术期用血量相关性 被引量:7
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作者 陈波 刘银 +2 位作者 刘业 周晔 唐晓峰 《中国输血杂志》 CAS CSCD 北大核心 2014年第8期822-825,共4页
目的探讨血栓弹力图(TEG)检测骨椎体、椎骶肿瘤患者体内凝血状态的应用效果。方法用TEG测定372名骨椎体、椎骶肿瘤患者的凝血象,以检测结果高凝、低凝及正常图像状态分成实验组1、2、3组,对照组25人为正常健康献血者;结合患者术前凝血... 目的探讨血栓弹力图(TEG)检测骨椎体、椎骶肿瘤患者体内凝血状态的应用效果。方法用TEG测定372名骨椎体、椎骶肿瘤患者的凝血象,以检测结果高凝、低凝及正常图像状态分成实验组1、2、3组,对照组25人为正常健康献血者;结合患者术前凝血象的检测结果,及肿瘤切除围手术期用血量的状况,了解患者凝血功能情况。结果实验组TEG高凝状态(1组)占37.10%(138/372)、低凝状态(2组)占5.38%(20/372)、正常图像状态(3组)占57.53%,与患者的围手术期输血量(悬浮红细胞)有着直接相关性;实验组患者的凝血象(除TT之外)、D-D检测结果都呈现异常现象,与患者的TEG高、低凝状态结果无直接相关性(P>0.05)。实验结果证实了TEG检测实验1组、2组与对照组之间有明显差异(P<0.01),3组与对照组之间无明显差异(P>0.05)。结论临床可根据术前TEG的检测结果来判断骨椎体、椎骶患者围手术期用血量的状态,正确估算、申请围手术期备血量。 展开更多
关键词 血栓弹力图 骨肿瘤 骨椎体 椎骶 围术期输血 用血量 相关性
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Nocturnal polyuria after lumbar disc herniation surgery
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作者 Qiong-qiong ZHANG Jin-lei ZHAO +1 位作者 Ping LIU Yuan-xiang LIU 《World Journal of Acupuncture-Moxibustion》 CSCD 2018年第4期300-302,315,共4页
A male patient with seventy-six years old, frequent urination at night, lassitude, aversion to cold, feeling tired easily on exertion, soreness and weakness in the lumbar region, dark and purplish tongue with white co... A male patient with seventy-six years old, frequent urination at night, lassitude, aversion to cold, feeling tired easily on exertion, soreness and weakness in the lumbar region, dark and purplish tongue with white coating, deep, thread and rapid pulse. Diagnosis: nocturnal polyuria. Syndrome differentiation in traditional Chinese medicine: kidney yang deficiency. In treatment, the Du-moxibustion(moxibustion along the Governor vessel) was adopted in the lumbosacral region. A number of cross marks were marked along Zhōngshū(中枢GV 7) to Yaoshù(腰俞 GV 2). Herbal powder for the Du-moxibustion was put evenly and straightly from GV 7 to GV 2 along the cross marks. The mulberry bark paper was put flatly over the treating region with the folded midline of the paper matching the powder line and the ginger paste was placed on the paper and flatted with the tongue depressor as a trapezium. A groove was pressed on the ginger paste, And moxa was put inside. The upper, middle and lower sites of the moxa were ignited for moxibustion,when the moxa was burnt out then new moxa was replaced. Totally,the moxa was changed 3 times in one treatment. The treatment was given once a week, and 4 treatments as one course. After 2-course Du-moxibustion, the frequency of nocturnal urination was 0-1 time,0-350 mL a night. The patient had lassitude and fatigue occasionally and had no aversion to cold. The treatment was given once every two weeks on the lumbosacral region until the urine frequency was normal at night. The Du-moxibustion improves in kidney yang deficiency, kidney qi deficiency, post-operative body weakness and the deficiency cold of the lower Jiao. This therapy warms the meridian, promotes qi and blood circulation, shortens the recovery time of the normal circulation of the cerebrospinal fluid and nourishes cauda equina as well as alleviates the pressure to cauda equina due to edema. This therapy effectively treats nocturnal polyuria of kidney yang deficiency after lumbar disc herniation surgery. 展开更多
关键词 Lumbosacral region Du-moxibustion Lumbar disc herniation Minimally invasive surgery Nocturnal polyuria
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