Simpson M B, Georgopoulos G, Eilert R E
Orthopaedic Surgery Service, Brooke Army Medical Center, Fort Sam Houston, Texas.
J Pediatr Orthop. 1993 Nov-Dec;13(6):777-80. doi: 10.1097/01241398-199311000-00018.
We conducted a retrospective review of 155 spinal operations at our institution to determine the efficacy of intraoperative salvage. Addition of intraoperative salvage had little effect on the success of a preoperative autologous donation program. Only patients with operative blood loss > 2,000 ml (12% of patients) benefited from this expensive source of autologous blood. The technique tended to be most effective in children aged 16-18 years. Use of intraoperative salvage for all pediatric spinal procedures is neither necessary nor cost effective.
我们对本机构的155例脊柱手术进行了回顾性研究，以确定术中自体血回输的疗效。术中自体血回输对术前自体血捐献计划的成功率影响甚微。只有术中失血量>2000毫升的患者（占患者总数的12%）受益于这种昂贵的自体血来源。该技术在16 - 18岁的儿童中往往最为有效。对所有小儿脊柱手术使用术中自体血回输既无必要也不具有成本效益。
