文献类型：期刊文章

作　　者：白冰[1] 田园[1] 张越伦[2] 马满娇[1] 虞雪融[1] 黄宇光[1]

机构地区：[1]中国医学科学院北京协和医学院北京协和医院麻醉科,北京100730 [2]中国医学科学院北京协和医学院北京协和医院中心实验室,北京100730

出　　处：《Chinese Medical Sciences Journal》

年　　份：2019

卷　　号：34

期　　号：1

起止页码：38-44

语　　种：中文

收录情况：BIOSISPREVIEWS、CAS、CSCD、CSCD2019_2020、EBSCO、EMBASE、IC、JST、PUBMED、SCOPUS、WOS、ZGKJHX、普通刊

摘　　要：Objective Identification of the risk factors for extraordinary hidden blood loss(HBL) could clarify the underlying causes and provide more appropriate management. This study aims to identify the predictors of HBL in spinal surgery.Methods Medical records were retrospectively retrieved to collect the data of patients who undergoing posterior thoracic and lumbar fusion surgery or scoliosis surgery. Demographic information, perioperative visible blood loss volume, as well as laboratory results were recorded. The patients receiving fusion surgery or scoliosis surgery were further divided into the HBL positive subgroup and the HBL negative subgroup. Differences in the variables between the groups were then analyzed. Binary logistic regression analysis was performed to determine independent risk factors associated with HBL.Results For patients undergoing posterior spinal surgery, the independent risk factors associated with HBL were autologous transfusion(for fusion surgery P = 0.011, OR: 2.627, 95%CI: 1.574-2.782; for scoliosis surgery P < 0.001, OR: 2.268, 95%CI: 2.143-2.504) and allogeneic transfusion(for fusion surgery P < 0.001, OR: 6.487, 95%CI: 2.349-17.915; for scoliosis surgery P < 0.001, OR: 3.636, 95%CI: 2.389-5.231).Conclusion Intraoperative blood transfusion might be an early-warning indicator for perioperative HBL.

关 键 词：SPINAL SURGERY hidden  BLOOD LOSS TRANSFUSION PREDICTION

分 类 号：R]