Reize P, Wülker N
Orthopädische Universitätsklinik, Hoppe-Seyler-Strasse 3, 72076 Tübingen.
Orthopade. 2007 Jun;36(6):537-43. doi: 10.1007/s00132-007-1096-1.
Major transfusion-free orthopaedic surgery can be performed successfully. This requires advanced planning, good routines and close collaborative team efforts. Since most blood saving techniques reduce blood usage by just 1-2 units, a series of integrated preoperative, intraoperative and postoperative blood saving approaches is required. These include preoperative autologous donation, erythropoietic support, acute normovolemic hemodilution, intraoperative autotransfusion, individualized assessment of anemia tolerance, meticulous surgical techniques and the use of pharmacologic agents for limiting blood loss. For various reasons, we do not recommend the transfusion of wound drainage. This article describes the various methods for bloodless medical care.
大型无输血骨科手术可以成功实施。这需要进行充分的术前规划、建立良好的常规流程以及团队紧密协作。由于大多数血液保存技术只能减少1 - 2个单位的用血，因此需要一系列综合的术前、术中和术后血液保存方法。这些方法包括术前自体献血、促红细胞生成支持、急性等容性血液稀释、术中自体输血、个体化贫血耐受性评估、精细的手术技术以及使用药物限制失血。出于各种原因，我们不建议输注伤口引流血。本文介绍了各种无血医疗护理方法。
