Nicolai P, Leggetter P P, Glithero P R, Bhimarasetty C R
Royal Orthopaedic Hospital, The Woodlands, Bristol Road South, Northfield, Birmingham B31 2AP, England, UK.
J Bone Joint Surg Br. 2004 Jan;86(1):110-2.
There were 22 patients with cerebral palsy aged six to 17 years who underwent an acetabuloplasty as part of an open reduction of the hip. In 11 patients a paediatric cell saver was used to collect autologous blood which was re-infused per-operatively. This group was compared to a cohort of 11 patients undergoing similar operations in whom only banked homologous blood was transfused. On average, 432 ml of autologous blood was reinfused compared to 909 ml of homologous blood (p < 0.01), representing 19.6% and 47% of the total blood volume, respectively (p < 0.002). Two units of homologous blood were transfused in the cell saver group compared with 20 units in the control group (p < 0.001). When using a paediatric cell saver, homologous blood transfusion was avoided in 82% of patients and there were no complications.
22例6至17岁的脑瘫患者接受了髋臼成形术，作为髋关节切开复位术的一部分。11例患者使用小儿血液回收机收集自体血，并在手术中回输。将该组与11例接受类似手术且仅输注库存异体血的患者队列进行比较。平均而言，回输自体血432毫升，而异体血为909毫升（p<0.01），分别占总血容量的19.6%和47%（p<0.002）。血液回收机组输注了2单位异体血，而对照组为20单位（p<0.001）。使用小儿血液回收机时，82%的患者避免了异体输血，且无并发症发生。
