术后引流血回输在关节置换中的应用

Application of postoperative salvaged blood in arthroplasty

目的:探讨术后引流血回输在关节置换中应用的可行性。方法:对14例行关节置换患者进行研究。将其术后前6h内引流血用Constavac CBCⅡ仪器收集并回输患者体内,观察回输引流血后是否有不良反应及异体血用量。结果:回输引流血后无一例患者出现不良反应,平均异体血用量<357ml。结论:术后引流血回输是一种安全有效、节约血源的输血方式,可减少异体血输入量,避免其并发症,尤其适宜膝关节置换患者。

Objective : To evaluate the results of reinfusion of postoperative salvaged blood in arthroplasty. Method : Fourteen consecutive patients undergoing total hip or knee replacement surgery were studied. The drainage blood in the first 6 hours after surgery was salvaged and reinfused by Constavac CBCⅡ device. It was recorded that whether there were side effect or not after reinfusion of postoperative salvaged blood in arthroplasty and the average amounts of allogenic blood given. Result: No apparent side effects occured after blood salvaged and reinfused in the patients. The average amounts of allogenic blood was less than 357ml. Conclusion:Blood salvaged and reinfused after arthroplasty may be safe and reduce the amount of allogenic blood given and it is suitable to knee arthroplasty.