Cope A R, McGlone R, Sloan J P
Accident and Emergency Department, St Batholomew's Hospital, London.
Injury. 1989 Jan;20(1):27-8. doi: 10.1016/0020-1383(89)90039-9.
A total of 50 patients with isolated closed fractures of the shaft of the femur are presented. Eleven per cent of the blood specimens were merely grouped and saved on arrival, and the remaining 39 (78 per cent) were crossmatched between 2 and 6 units. Overall, 138 units of blood were crossmatched and only 16 units were used (11.5 per cent), none of them actually in the accident and emergency department. We can find no record of blood being given for resuscitation. The use of blood appeared to depend on the occurrence and timing of operation. We suggest that local policy for crossmatching blood for such patients takes into account the orthopaedic surgical plan, but that the routine instruction to cross-match blood on arrival be abandoned.
共呈现了50例单纯股骨干闭合性骨折患者的情况。11%的血液样本在送达时仅进行了血型分组并保存，其余39例（78%）进行了2至6单位的交叉配血。总体而言，共交叉配血138单位，仅使用了16单位（11.5%），且均不在急诊室实际使用。我们未发现有输血用于复苏的记录。输血的使用似乎取决于手术的发生情况和时间。我们建议，针对此类患者的交叉配血当地政策应考虑骨科手术计划，但应摒弃患者送达时常规交叉配血的指令。
