[A comparative evaluation of hyper- and normovolemic hemodilution in the complex treatment of chronic hematogenic osteomyelitis].
The article deals with the comparative analysis of the results of treatment of 98 patients with chronic hematogenic osteomyelitis of the long tubular and pelvic bones with the use of hypervolemic and normovolemic hemodilution as a method of infusion-transfusion therapy of intraoperative blood loss and its compensation with donor blood. It is shown on the basis of clinical evaluation and the study of hemodynamic, hematological, and rheological blood values, the values of the blood coagulation system and the acid-base balance that the use of hypervolemic hemodilution is limited and can be applied in blood loss not exceeding 10% of the circulation volume. The use of the method of normovolemic hemodilution makes the transfusion of donor blood unnecessary and thus allows the complications associated with it, infectious among others, to be avoided. It can be used in blood loss of up to 20% of the circulation volume.
Gostishchev
V K
VK
Vavilova
G S
GS
Vasil'kova
Z F
ZF
Shalchkova
L P
LP
Guseva
M R
MR
D000328:Adult; D016063:Blood Loss, Surgical; D002908:Chronic Disease; D005260:Female; D006438:Hemodilution / Q000379:methods*; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000601:surgery*
Sravnitel'naia otsenka giper- i normovolemicheskoĭ gemodiliutsii v kompleksnom lechenii khronicheskogo gematogennogo osteomielita'