Robbins J, Steingold R F
Injury. 1986 Jul;17(4):265-6. doi: 10.1016/0020-1383(86)90233-0.
Unnecessary preoperative cross-matching of blood wastes time and money and may increase morbidity and mortality by delaying a necessary operation. One hundred and ninety-three consecutive patients who underwent semi-urgent operative treatment for fractures of the neck of the femur at a large district general hospital were evaluated. Of the patients with haemoglobin values of 11 g/dl or more, only 12 per cent required transfusion for the operation. None of the patients with fractures treated by 'pinning' required a transfusion. It is our opinion that patients with normal preoperative haemoglobin levels can undergo operative treatment for fractures of the neck of femur after typing but without the necessity of cross-matching blood.
不必要的术前交叉配血既浪费时间和金钱，还可能因延误必要手术而增加发病率和死亡率。我们对一家大型地区综合医院连续193例接受股骨颈骨折半急诊手术治疗的患者进行了评估。血红蛋白值在11g/dl及以上的患者中，仅12%的患者手术需要输血。接受“打钉”治疗的骨折患者无一需要输血。我们认为，术前血红蛋白水平正常的患者在血型鉴定后可接受股骨颈骨折手术治疗，而无需交叉配血。
