Johansen S, Rike C, Svenningsen S
Ortopedisk seksjon, Aust-Agder Sentralsjukehus, Arendal.
Tidsskr Nor Laegeforen. 1996 Sep 30;116(23):2766-8.
100 patients who underwent primary, total hip arthroplasty were consecutively included in this study. Their postoperative sanguineous wound drainage was reinfused, and the purpose of the study was to evaluate if such reinfusion reduced the use of homologous blood. 100 patients who were operated immediately prior to the reinfusion group were used as a historical control group. The mean volume reinfused was 426 milliliters. The mean haemoglobin of the wound drainage was 7.3 g/100 ml. There was no statistically significant reduction in the use of homologous blood. Nor was there any reduction in the number of patients exposed to such blood. Autotransfusion of postoperative sanguineous wound drainage does not seem to be indicated as a routine procedure in primary total hip arthroplasties.
100例行初次全髋关节置换术的患者连续纳入本研究。他们术后的血性伤口引流液被回输,本研究的目的是评估这种回输是否减少了同源血的使用。将在回输组之前立即接受手术的100例患者作为历史对照组。平均回输量为426毫升。伤口引流液的平均血红蛋白为7.3 g/100 ml。同源血的使用没有统计学上的显著减少。接触此类血液的患者数量也没有减少。术后血性伤口引流液的自体输血似乎不适合作为初次全髋关节置换术的常规操作。