McCleane G J
Craigavon Area Hospital, Northern Ireland.
Ulster Med J. 1990 Oct;59(2):145-8.
Haemoglobin concentrations were estimated in 1158 patients admitted to hospital for elective surgical procedures. Haemoglobin concentration below 10 g/dl was not seen in male patients who were fit and healthy, or had mild or severe non life threatening systemic diseases. In female patients haemoglobin concentration below 10 g/dl was seen in 0.3% of normal fit healthy patients, 2% of patients with mild systemic diseases, 6.4% of patients with severe, non life threatening diseases, and 18.7% of those with severe incapacitating diseases. Routine haemoglobin measurement is unnecessary in fit healthy patients, or in those with mild systemic disease (American Society of Anesthesiologists grades 1 or 2), but should be done in those with more severe systemic diseases (American Society of Anesthesiologists grades 3, 4 or 5).
对1158名因择期外科手术入院的患者进行了血红蛋白浓度测定。健康状况良好、患有轻度或重度非危及生命的全身性疾病的男性患者中，未发现血红蛋白浓度低于10 g/dl的情况。在女性患者中，健康状况良好的正常患者中有0.3%、患有轻度全身性疾病的患者中有2%、患有重度非危及生命疾病的患者中有6.4%，以及患有严重致残性疾病的患者中有18.7%的血红蛋白浓度低于10 g/dl。健康状况良好的患者或患有轻度全身性疾病（美国麻醉医师协会分级为1或2级）的患者无需进行常规血红蛋白测量，但患有更严重全身性疾病（美国麻醉医师协会分级为3、4或5级）的患者应进行测量。
