Turner R H, Capozzi J D, Kim A, Anas P P, Hardman E
New England Baptist Hospital, Boston, Massachusetts.
Clin Orthop Relat Res. 1990 Jul(256):299-305.
During an eight-year period, intraoperative autotransfusion was performed in 1922 operations. There were 476 primary hip arthroplasties, 1017 revision hip arthroplasties, 339 spinal procedures, and 90 vascular cases. There were no known complications related to autotransfusion in any of the cases. With proper technique, red cell salvage is approximately 58% effective, and intraoperative blood loss can be reduced by that amount. The first four years' experience with the preoperative autogeneic blood program is as follows. Using a combined program of predonation and primary hip arthroplasty, 72% of the revision hip arthroplasties and 81% of the spinal instrumentations required only autologous blood. A combined program of autologous donation and intraoperative autotransfusion is an excellent alternative to allogeneic blood replacement and a means of eliminating transfusion-related disease.
在八年期间，1922例手术中进行了术中自体输血。其中有476例初次髋关节置换术、1017例髋关节翻修术、339例脊柱手术和90例血管手术。所有病例中均未发现与自体输血相关的已知并发症。采用适当的技术，红细胞回收的有效率约为58%，术中失血量可减少相应的量。术前自体血计划的前四年经验如下。采用预存式自体输血和初次髋关节置换术相结合的方案，72%的髋关节翻修术和81%的脊柱手术仅需自体血。自体输血与术中自体输血相结合的方案是异体输血替代的极佳选择，也是消除输血相关疾病的一种方法。
