Badran H A, Kodeara K Z, Mabrouk M H
Department of Plastic Surgery and Anaesthesiology, Ain Shams University Faculty of Medicine, Cairo, Egypt.
Plast Reconstr Surg. 1993 Dec;92(7):1298-304.
The practice of massive liposuction for the treatment of patients with large lipodystrophies has already been reported. The safety of this technique lies in proper fluid and blood replacement. Blood conservation techniques are therefore needed to avoid or minimize homologous transfusion. The use of a combination of predeposited autologous blood and acute intraoperative normovolemic hemodilution in the management of 150 patients requiring massive liposuction is reported. Since it is possible to anticipate the amount of blood loss in liposuction, a formula is proposed to monitor the hematocrit of the patient during the procedure and therefore predict the need for homologous transfusion. The technique reported enabled us to aspirate up to 11 liters in a single stage. Homologous transfusion was either avoided or markedly reduced. The degree of patient satisfaction was high, with no mortality or morbidity reported.
已有报道采用大量抽脂术治疗大面积脂肪代谢障碍患者。该技术的安全性在于适当的液体和血液补充。因此需要采用血液保护技术以避免或尽量减少同种输血。本文报道了对150例需要进行大量抽脂术的患者采用预存自体血和术中急性等容血液稀释相结合的方法。由于抽脂术中失血的量是可以预估的，故提出一个公式来监测术中患者的血细胞比容，从而预测是否需要进行同种输血。报道的这项技术使我们能够在一个阶段内吸出多达11升的脂肪。避免了同种输血或显著减少了其使用量。患者满意度很高，未报告有死亡或发病情况。
