Department of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, 21287, United States.
Department of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, 21287, United States.
Clin Neurol Neurosurg. 2020 Sep;196:106004. doi: 10.1016/j.clineuro.2020.106004. Epub 2020 Jun 18.
Blood loss is an inevitable reality of spine surgery. Excessive loss is associated with increased morbidity and mortality and is frequently combated with allogeneic blood transfusions. Transfusions themselves are associated with increased morbidity, including circulatory overload, lung injury, and acute kidney injury. It is therefore incumbent upon the practicing spine surgeon to be aware of evidence-based interventions capable of reducing blood loss and the risk of transfusion. Here we review the available literature and make recommendation based upon the available evidence.
失血是脊柱手术不可避免的现实。大量失血与发病率和死亡率增加有关，通常通过异体输血来对抗。输血本身也会增加发病率，包括循环超负荷、肺损伤和急性肾损伤。因此，从事脊柱外科的医生必须了解有证据支持的干预措施，以减少失血和输血风险。在这里，我们回顾了现有文献，并根据现有证据提出建议。
