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Assessment of Intraoperative Blood Loss during Oral and Maxillofacial Surgical Procedures in a Nigerian Tertiary Health Care Center

机译:尼日利亚高等医疗中心口腔和颌面外科手术过程中术中失血的评估

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Background. Reports on estimated amount of blood loss in maxillofacial surgical procedures will guide clinicians through units of blood required for each procedure. The aim of the study was to assess the amount of blood loss and duration of surgery. Methods. All cases of maxillofacial surgical procedures done under GA in the MFU theatre, from January 2007 to December 2013, were included in the study. Pre- and postoperative haematocrit values, number of units of whole blood requested and used, amount of blood loss, and duration of surgery were recorded. Results. 139 patients were analyzed, of which 75 (54.0%) were males and 64 (46.0%) were females. Fifty-six (40.3%) cases involved soft tissues. Eighty-three cases involved hard tissues. Age range was 2 months to 78 years; mean ± (SD) was years. Isolated unilateral cleft lip had the lowest mean value of estimated blood loss of ?mLs and also the lowest duration of surgery of 58 (76) minutes. There was no significant relationship between both parameters for cleft lip. Fractures of the mandible had mean blood loss of 352?mLs and duration was 175?min. Conclusion. In this study, there was significant relationship between estimated blood loss and duration of surgery for mandibular and zygomatic complex fractures.
机译:背景。关于颌面外科手术程序估计的损伤量的报告将通过每个程序所需的血液单位指导临床医生。该研究的目的是评估手术的失血量和持续时间。方法。在2013年1月至2013年1月,在MFU剧院下,在MFU剧院下完成的所有颌面外科手术病例均被纳入该研究。术后血细胞比容值,记录了全血单位数,血液损失量和手术持续时间。结果。分析了139名患者,其中75名(54.0%)是男性,64(46.0%)是女性。五十六(40.3%)病例涉及软组织。八十三例涉及硬组织。年龄范围为2个月至78岁;平均值±(SD)是年份。孤立的单侧裂隙唇具有估计失血的最低平均值?MLS以及58(76)分钟的手术的最低持续时间。裂口唇部的两个参数之间没有显着的关系。下颌骨的骨折有平均损伤352?mls和持续时间为175?min。结论。在这项研究中,下颌和颧骨复合骨折的估计失血和手术持续时间之间存在显着关系。

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