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[血液稀释和延迟自体输血在儿童及青少年脊柱手术中的意义]

[Significance of hemodilution and deferred autotransfusions in spinal surgery in the child and the adolescent].

作者信息

Bernière J, Traineau R, Scemama M P, Granados M

出版信息

Rev Fr Transfus Immunohematol. 1983 Apr;26(2):223-34. doi: 10.1016/s0338-4535(83)80096-8.

DOI:10.1016/s0338-4535(83)80096-8
PMID:6879043
Abstract

Homologous blood transfusions may involve immunological risks, as much as the risk of transmitting viral bacterial or parasitic illnesses. 140 children and adolescents having been operated for scoliosis were evaluated in order to compare hemodilution plus deferred auto-transfusion against standard transfusion techniques. By combining hemodilution and deferred autotransfusion, pre and post-surgery transfusions drop from 2725 to 370 ml of homologous blood, on the average. The combined use of these two techniques thus reduces the need for new homologous blood most significantly.

摘要

同种异体输血可能存在免疫风险,也存在传播病毒、细菌或寄生虫疾病的风险。对140名接受脊柱侧弯手术的儿童和青少年进行了评估,以比较血液稀释加延迟自体输血与标准输血技术。通过结合血液稀释和延迟自体输血,手术前后同种异体血的输注量平均从2725毫升降至370毫升。因此,这两种技术的联合使用最显著地减少了对新鲜同种异体血的需求。

相似文献

1
[Significance of hemodilution and deferred autotransfusions in spinal surgery in the child and the adolescent].[血液稀释和延迟自体输血在儿童及青少年脊柱手术中的意义]
Rev Fr Transfus Immunohematol. 1983 Apr;26(2):223-34. doi: 10.1016/s0338-4535(83)80096-8.
2
Hemodilution as a method to reduce transfusion requirements in adolescent spine fusion surgery.血液稀释作为一种减少青少年脊柱融合手术输血需求的方法。
Spine (Phila Pa 1976). 1999 Feb 1;24(3):219-22; discussion 223-4. doi: 10.1097/00007632-199902010-00005.
3
[Autotransfusion with acute hemodilution in the surgical treatment of scoliosis (author's transl)].
Rev Chir Orthop Reparatrice Appar Mot. 1981;67(6):609-15.
4
The problem of blood in surgical treatment of spinal deformity.脊柱畸形外科治疗中的出血问题。
Ital J Orthop Traumatol. 1991 Sep;17(3):371-4.
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[A comparison of autologous transfusion procedures in hip surgery].[髋关节手术中自体输血程序的比较]
Anaesthesist. 1991 Apr;40(4):205-13.
6
Combination of blood-saving methods decreases homologous blood requirements in scoliosis surgery.
Anaesth Intensive Care. 1996 Oct;24(5):555-8. doi: 10.1177/0310057X9602400508.
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Autologous blood transfusions in children and young adults with low body weight undergoing spinal surgery.低体重儿童和青少年脊柱手术中的自体输血。
J Pediatr Orthop. 1990 Nov-Dec;10(6):750-3. doi: 10.1097/01241398-199011000-00008.
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Efficacy and cost considerations of intraoperative autologous transfusion in spinal fusion for idiopathic scoliosis with predeposited blood.预存式自体输血在特发性脊柱侧凸脊柱融合术中的疗效及成本考量
Spine (Phila Pa 1976). 1996 Apr 1;21(7):848-52. doi: 10.1097/00007632-199604010-00015.
9
Efficacy of autotransfusion in spine surgery: comparison of autotransfusion alone and with hemodilution and apheresis.自体输血在脊柱手术中的疗效:单纯自体输血与联合血液稀释和血液成分单采的比较。
Spine (Phila Pa 1976). 1996 Dec 1;21(23):2795-800. doi: 10.1097/00007632-199612010-00016.
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[Autotransfusion and hemodilution in orthopedic surgery in children].
Rev Chir Orthop Reparatrice Appar Mot. 1989;75(1):11-8.

引用本文的文献

1
Autologous blood predeposit for elective surgery: an Italian experience.择期手术的自体血预存:意大利的经验
World J Surg. 1987 Feb;11(1):47-52. doi: 10.1007/BF01658459.