Porteous M J, Miller A J
Mayday Hospital, Croydon.
Ann R Coll Surg Engl. 1991 Jan;73(1):44-5.
Routine blood transfusion was prospectively withheld from 10 patients undergoing routine elective total hip arthroplasty who fulfilled specific criteria. A standard anaesthetic regimen was used. The mean perioperative fall in haemoglobin concentration was 1.9 g/dl, and only one patient required a postoperative blood transfusion. There were no postoperative complications. The need for routine peroperative blood transfusion of patients undergoing total hip arthroplasty is questioned.
对10名接受常规择期全髋关节置换术且符合特定标准的患者前瞻性地不进行常规输血。采用标准麻醉方案。围手术期血红蛋白浓度平均下降1.9 g/dl，只有1名患者术后需要输血。无术后并发症。全髋关节置换术患者常规术中输血的必要性受到质疑。
