Dulguerov P, Quinodoz D, Allal A S, Tassonyi E, Beris P
Division of Head and Neck Surgery, University Hospital of Geneva, Switzerland.
Acta Otolaryngol. 1998 Sep;118(5):744-7. doi: 10.1080/00016489850183296.
Blood requirements for Head and Neck surgical procedures have not been studied carefully. In order to set up an autotransfusion program, the blood loss and transfusion requirements should be known precisely.
The blood bank database was used to determine which Head and Neck procedures required blood transfusion during the previous 5 years. A list of 10 transfusion-associated operations was established, the records of all patients who underwent these procedures during a 5-year period were reviewed, and average the blood loss and number of units transfused determined.
All procedures were for cancer resection. The operations were classified in 3 groups according to their transfusion probability: high (> 80%), low (< 5%) and moderate. For the moderate transfusion group, age, preoperative hemoglobin, and past medical history of cardiac and pulmonary disease were associated with higher incidence of transfusion. An average delay of 3 weeks was found between the diagnosis and the actual surgery.
The transfusion requirements of Head and Neck surgical procedures could be safely met by an autotransfusion protocol, given the average delay of 3 weeks between diagnosis and surgery.
头颈部外科手术的用血需求尚未得到仔细研究。为了建立自体输血方案，需要精确了解失血量和输血需求。
利用血库数据库确定过去5年中哪些头颈部手术需要输血。列出了10种与输血相关的手术，回顾了5年期间接受这些手术的所有患者的记录，并确定了平均失血量和输血量。
所有手术均为癌症切除术。根据输血概率将手术分为3组：高（>80%）、低（<5%）和中等。对于中等输血组，年龄、术前血红蛋白以及既往心肺疾病史与较高的输血发生率相关。发现诊断与实际手术之间平均延迟3周。
考虑到诊断与手术之间平均延迟3周，通过自体输血方案可以安全满足头颈部外科手术的输血需求。
