CAJ | 학술논문

人工膝关节置换术（ total knee arthroplasty ， TKA）是膝关节终末疾病的重要手段，而术后存在的隐性失血未得到充分关注，极大影响了患者术后的康复锻炼，增加了住院时间和费用，目前迫切需求提高患者恢复的满意度。为解决围手术期失血过多所带来的对术后康复的不利影响，文中通过系统回顾膝关节置换术后隐性失血的相关文献，总结隐性失血的发生机制及其影响因素。
인공슬관절치환술（ total knee arthroplasty ， TKA）시슬관절종말질병적중요수단，이술후존재적은성실혈미득도충분관주，겁대영향료환자술후적강복단련，증가료주원시간화비용，목전박절수구제고환자회복적만의도。위해결위수술기실혈과다소대래적대술후강복적불리영향，문중통과계통회고슬관절치환술후은성실혈적상관문헌，총결은성실혈적발생궤제급기영향인소。
Total knee arthroplasty is an important means of knee joint terminal disease , however , it has not been fully ob-served that there exists hidden blood loss in perioperative period , which greatly affects the function of patients with postoperative reha-bilitation exercise , increases the length of hospital stay , and increases the hospitalization expense .There is an urgent demand to im-prove patient satisfaction recovery .To avoid the perioperative blood loss that brings patients the adverse effects on postoperative rehabil -itation, we systemically reviewed the reviews of hidden blood loss after total knee replacement and analyzed the mechanism of hidden blood loss and its influencing factors .