中国医学科学院学报2016，Vol.38Issue(6)：702-705,4.DOI:10.3881/j.issn.1000-503X.2016.06.012
学龄前小儿先天性脊柱侧凸后路矫形手术中大出血相关危险因素回顾性分析
Predictors for Massive Blood Loss During Posterior Correction of Congenital Scoliosis in Pre-school Children：A Retrospective Observation
申乐 1陈唯韫 1王武涛 1徐昊男 1虞雪融 1张秀华 1黄宇光1
作者信息
- 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
- 折叠
摘要
Abstract
Objective To investigate the predictors for massive blood loss during posterior correction of congenital scoliosis in pre-school children. Methods Totally 124 children under six years of age, who received posterior correction of congenital scoliosis, were divided into two groups according to the ratio of intraoperative blood loss (BL) and estimated blood volume (EBV) . Massive blood loss was defined as BL/EBV>0. 15, and minor or moderate blood loss as BL/EBV≤0. 15. All the records, including demographics, intraoperative fluids, pre- or postoperative laboratory parameters, and the length of hospital stay, were compared between these two groups. Results There were 57 children in the moderate or minor blood loss group and 67 children in the massive blood loss group. When compared with moderate or minor blood loss group, children in massive blood loss group had significantly lower body weight, shorter body height, longer anesthesia period, and more autologous or allogeneic transfusion ( P<0. 05 ) . Binary Logistic regression analysis showed that body weight low- <br> er than 15 kg was the independent predictor for massive blood loss ( OR=0. 435 , 95% CI=0. 197-0. 962 ) . Conclusions The incidence of massive blood loss is about 54% in children under six years of age who have re-ceived posterior correction of congenital scoliosis. The body weight of lower than 15 kg is an independent predictor for massive blood loss during the surgery.关键词
先天性脊柱侧凸/后路矫形/大出血Key words
congenital scoliosis/posterior correction/massive blood loss分类
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申乐,陈唯韫,王武涛,徐昊男,虞雪融,张秀华,黄宇光..学龄前小儿先天性脊柱侧凸后路矫形手术中大出血相关危险因素回顾性分析[J].中国医学科学院学报,2016,38(6):702-705,4.
