Tunçbilek Gökhan, Vargel Ibrahim, Erdem Adnan, Mavili M Emin, Benli Kemal, Erk Yücel
Department of Plastic and Reconstructive Surgery, Hacettepe University, Faculty of Medicine, Ankara, Turkey.
J Craniofac Surg. 2005 Jan;16(1):59-62. doi: 10.1097/00001665-200501000-00012.
Surgical procedures for correction of craniofacial deformities resulted in unavoidable and extensive blood loss in small children and infants. Almost all of the patients undergoing these procedures will undergo a blood transfusion either during or immediately after the operation. A retrospective review of 30 patients who underwent craniofacial surgery was performed in this study to determine the magnitude of transfusion required for craniofacial surgery, document transfusion morbidity, and identify variables associated with the transfusion. The mean estimated blood loss was 566.8 mL, the mean intraoperative transfusion was 394.8 mL, the mean postoperative transfusion was 103.2 mL, and the mean total transfusion was 505 mL. The mean operative time was 450 minutes, the mean preoperative hemoglobin and the mean postoperative hemoglobin before hospital discharge were 11.6 g/dL and 10.3 g/dL, respectively. Craniofacial surgical procedures involve extensive scalp dissection and calvarial and facial bone osteotomies in patients with a low total blood volume. Every medical and surgical strategy for minimizing the need for blood transfusion should be considered.
颅面畸形矫正手术会导致小儿和婴儿不可避免地出现大量失血。几乎所有接受这些手术的患者都会在手术期间或术后立即接受输血。本研究对30例接受颅面手术的患者进行了回顾性分析，以确定颅面手术所需的输血量，记录输血并发症，并确定与输血相关的变量。平均估计失血量为566.8 mL，平均术中输血量为394.8 mL，平均术后输血量为103.2 mL，平均总输血量为505 mL。平均手术时间为450分钟，术前平均血红蛋白和出院前术后平均血红蛋白分别为11.6 g/dL和10.3 g/dL。颅面外科手术涉及对血容量低的患者进行广泛的头皮剥离以及颅骨和面骨截骨术。应考虑每一种减少输血需求的医疗和手术策略。
