La Spada Michele, De Caridi Giovanni, Mandolfino Tommaso, Mirenda Francesco, D'Alfonso Mario, Spinelli Francesco
Unità Operativa di Chirurgia Vascolare, Cattedra di Chirurgia Vascolare Azienda Ospedaliera Universitaria Policlinico Gaetano Martino, Messina.
Chir Ital. 2003 Sep-Oct;55(5):637-42.
The aim of the study was to evaluate the possibility of reducing the blood loss during elective surgery for abdominal aortic aneurysms using particular intraoperative surgical expedients. From 1993 to 1999, 200 patients were recruited into the study. We performed 90 aorto-aortic, 84 aorto-bisiliac, 4 aorto-iliac-femoral, 12 aorto-bisiliac-hypogastric, and 10 aorto-bifemoral reconstructions. Several surgical techniques were used and are described in detail. The mortality rate was 3.5%. Haemoglobinaemia 24 hours after the operation had decreased by 2.5 +/- 0.9 g/dl. In 67% of cases the estimated blood loss was lower than 300 ml. There were no transfusions in 44% of cases, and autologous transfusions in 17%. The average estimated blood loss was 350 ml, with mean reinfusion of 0.98 blood units. Our study suggests the possibility (44%) of avoiding the use of blood transfusions thanks to intraoperative blood saving by means of particular surgical techniques.
本研究的目的是评估采用特定的术中手术方法减少腹主动脉瘤择期手术期间失血的可能性。1993年至1999年，200例患者被纳入本研究。我们进行了90例主动脉-主动脉、84例主动脉-双侧髂动脉、4例主动脉-髂动脉-股动脉、12例主动脉-双侧髂动脉-下腹动脉和10例主动脉-双股动脉重建手术。使用了多种手术技术并进行了详细描述。死亡率为3.5%。术后24小时血红蛋白血症下降了2.5±0.9 g/dl。67%的病例估计失血量低于300 ml。44%的病例未进行输血，17%的病例进行了自体输血。平均估计失血量为350 ml，平均回输0.98个血单位。我们的研究表明，通过特定的手术技术在术中节约用血，有44%的可能性避免输血。
