脑膜瘤术中大量出血的危险因素分析
摘要
<正>脑膜瘤作为神经外科最常见的良性肿瘤,发病率约占脑肿瘤的13%～26%,其首选的治疗方法是手术切除~[1]。既往研究显示,脑膜瘤由于血供丰富,术中出血量往往较大,平均出血量可多达400～1 800 ml,因此围术期血液保护成为外科医师和麻醉科医师共同关心的问题。近年来,随着临床用血的日益紧张及对输血风险的深入认识,自体血回收技术成为围术期血液保护的重要方法~[2]。然而,自体血回收技术也存在明显的不足,包括回收装置的成本高、自体血液浪费、输血
引文
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[2] 刘欣,王秀丽.术中自体血回输临床应用的研究进展.临床麻醉学杂志,2017,33(8):818-821.
[3] Hamada J,Kai Y,Nagahiro S,et al.Embolization with cellulose porous beads,II:Clinical trial.Ajnr,1996,17(10):1901-1906.
[4] Bendszus M,Rao G,Burger R,et al.Is there a benefit of preoperative meningioma embolization?Neurosurgery,2000,47(6):1306-1312.
[5] 陈臻,姜勇,郭少雷.术前栓塞在脑膜瘤手术治疗中的作用.广东医学,2006,27(11):1707-1708.
[6] Lü J.Correlation between preoperative imaging features and intraoperative blood loss of meningioma:a new scoring system for predicting intraoperative blood loss.J Neurosurgical Sci,2013,57(2):153-161.
[7] Narayan V,Bir SC,Mohammed N,et al.Surgical management of giant intracranial meningioma:operative nuances,challenges and outcome.World Neurosurgery,2018,110:e32-e41.
[8] 覃成箭,徐伟伟,龙青山,等.脑膜瘤术前影像学信息与手术结果的相关性分析.中华神经医学杂志,2013,12(3):256-261.