Kruger L M, Colbert J M
J Pediatr Orthop. 1985 May-Jun;5(3):330-2. doi: 10.1097/01241398-198505000-00014.
An intraoperative autologous transfusion program was used in conjunction with preoperative phlebotomy in 25 children undergoing elective spinal surgery. Operative red blood cells, 10,000 ml, with an average hematocrit of 55%, as well as 7,300 ml of preoperative phlebotomy blood were returned to the patients. No complications were noted. The complete blood count on discharge was satisfactory, and the clotting parameters were unchanged. The results of this study show that intraoperative autologous transfusion with preoperative phlebotomy is safe, easy to perform, and cost-effective in children undergoing elective spinal surgery. The risks of homologous blood transfusions were eliminated.
对25例接受择期脊柱手术的儿童,术中自体输血程序与术前放血联合使用。共回输手术中采集的红细胞10,000毫升,平均血细胞比容为55%,以及术前放血采集的血液7,300毫升。未观察到并发症。出院时全血细胞计数结果良好,凝血参数未变。本研究结果表明,对于接受择期脊柱手术的儿童,术前放血联合术中自体输血安全、易于实施且具有成本效益。消除了异体输血的风险。