择期骨科手术中减少异体输血的替代程序。
Alternative procedures for reducing allogeneic blood transfusion in elective orthopedic surgery.
出版信息
HSS J. 2010 Sep;6(2):190-8. doi: 10.1007/s11420-009-9151-6. Epub 2010 Jan 28.
Abstract
Perioperative blood loss is a major problem in elective orthopedic surgery. Allogeneic transfusion is the standard treatment for perioperative blood loss resulting in low postoperative hemoglobin, but it has a number of well-recognized risks, complications, and costs. Alternatives to allogeneic blood transfusion include preoperative autologous donation and intraoperative salvage with postoperative autotransfusion. Orthopedic surgeons are often unaware of the different pre- and intraoperative possibilities of reducing blood loss and leave the management of coagulation and use of blood products completely to the anesthesiologists. The goal of this review is to compare alternatives to allogeneic blood transfusion from an orthopedic and anesthesia point of view focusing on estimated costs and acceptance by both parties.
摘要
围手术期失血是择期骨科手术中的一个主要问题。异体输血是治疗围手术期失血导致术后血红蛋白降低的标准方法，但它有许多公认的风险、并发症和成本。异体输血的替代方法包括术前自身输血和术中回收加术后自体输血。骨科医生通常不了解减少失血的不同术前和术中可能性，而将凝血的管理和血液制品的使用完全留给麻醉师。本综述的目的是从骨科和麻醉的角度比较异体输血的替代方法，重点是估计成本和双方的接受程度。
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