中国全科医学2012，Vol.15Issue(15)：1725-1727,3.
微通道经皮肾镜取石术中灌注液吸收对患者血液流变学的影响
Effects of Irrigation Fluid′s Absorption on Hemorheology during Mini-Percutaneous Nephrolithotomy
崔振宇 1杨文增 1齐丽丽 1马涛 1魏若晶 1闫红丽 1师晓强1
作者信息
- 1. 071000河北省保定市,河北大学附属医院泌尿外科
- 折叠
摘要
Abstract
Objective To explore the effects of irrigation fluid's absorption on hemorheology during mini - percutane-ous nephrolithotomy and to provide theoretical evidence for clinical treatment. Methods 72 patients with upper urinary tract stones from December 2008 to September 2010 were involved into the study. Normal saline was used as irrigation fluid during oper -ation. Hemorheology was tested before irrigation (Tl), 60 minutes during irrigating (T2) and after irrigation (T3).Results All the operations were completed successfully without converting to open surgery or suspension because of bleeding. The irrigation fluid volume was 9. 50 ~ 53. 00 L and the mean volume was ( 22. 74 ± 9. 87 ) L No irrigation fluid absorption syndrome was found. There was significant decrease in whole blood viscosity at high , middle and low shear rate, plasma viscosity, the whole blood reduced viscosity at high and low shear rate , the index of RBC aggregation , the index of rigidity, the index of RBC deform-ation and the maximum rate of platelet aggregation at T 3 and T2 compared with Tl (P < 0. 05 ). HCT and the index of RBC ri -gidity showed statistically significant difference at T2 compared with Tl (P <0. 05) . The whole blood viscosity at high shear rate, plasma viscosity , HCT, the index of RBC rigidity and the maximum rate of platelet aggregation showed statistically signifi -cant differences at T3 compared with T2 (P <0.05 ). Conclusion Irrigation fluid's absorption is involved in the process of mini - percutaneous nephrolithotomy. Hemorheology should be monitored when the operation time is extended and the irrigation fluid volume is large, and corresponding measures should be taken timely.关键词
肾造口术,经皮/灌注液/吸收/血液流变学Key words
Nephrolithotomy,percutaneous/Irrigation fluid/Absorption/Hemorheology分类
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崔振宇,杨文增,齐丽丽,马涛,魏若晶,闫红丽,师晓强..微通道经皮肾镜取石术中灌注液吸收对患者血液流变学的影响[J].中国全科医学,2012,15(15):1725-1727,3.
