Comparison between allogenic and autologous blood transfusion for in hip arthroplasty

ZHANG Guozhen; et al

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Comparison between allogenic and autologous blood transfusion for in hip arthroplasty

更新时间：2024-01-17

- Comparison between allogenic and autologous blood transfusion for in hip arthroplasty
- Journal of Chongqing Medical University Issue 1, Pages: 121-123(2006)
- 作者机构：
  
  1. 重庆医科大学附属第一医院输血科
  2. 重庆医科大学附属第一医院麻醉科
  3. 重庆医科大学附属第一医院输血科,重庆,400016
  4. 重庆医科大学附属第一医院输血科重庆医科大学附属第一医院麻醉科重庆医科大学附属第一医院输血科,重庆,400016
- 作者简介：
- 基金信息：
- DOI：
  CLC： R457.1
- Published：2006，
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[1]张国珍,唐晓宁,詹廷西,李成,李青,吕莉.自体与异体输血在人工髋关节置换术中的应用比较[J].重庆医科大学学报,2006(01):121-123.

ZHANG Guozhen, et al. Comparison between allogenic and autologous blood transfusion for in hip arthroplasty. [J]. Journal of Chongqing Medical University (1):121-123(2006)
[1]张国珍,唐晓宁,詹廷西,李成,李青,吕莉.自体与异体输血在人工髋关节置换术中的应用比较[J].重庆医科大学学报,2006(01):121-123. DOI：

ZHANG Guozhen, et al. Comparison between allogenic and autologous blood transfusion for in hip arthroplasty. [J]. Journal of Chongqing Medical University (1):121-123(2006) DOI：

摘要

目的:比较人工髋关节置换术中自体与异体输血的经验

以及预存自体血和术中自体血回输患者血常规和生化指标的变化。方法:回顾分析188例人工髋关节置换术中的输血情况

其中

预存自体血回输组（A组）62例

术中自体血回输组（B组）76例

未作自体输血的人工髋关节置换术组（C组）50例。结果:A组、B组术后分别有64.5%（40/62）和61.8%（47/76）无需输异体血而顺利渡过围手术期

明显多于C组（P<0.05）

A组、B组异体血用量也明显少于C组（P<0.05）。A组采血前、后血液指标无显著差异

B组术后1天患者RBC、H b、H CT均明显低于手术前（P<0.05）

但无失血反应

术后1周恢复正常。电解质术前、术后无异常。术中回输血经光镜观察回收处理后红细胞形态正常、无碎片。回收血培养均呈阴性。结论:自体输血是一种安全、经济、副反应较少的高质量输血

能使绝大多数施行人工髋关节置换术的病例避免输异体血

方法简便、可靠

值得推广使用。

Abstract

Objective: To compare the experience obtained in allogenic and autologous blood transfusion used in hip arthroplasty.Methods: 188 cases of hip arthroplasty were retrospectively analyzed

and the patients were divided into three groups.Group A(62 patients)received preoperative storage and transfusion of autologous blood during the operation.Group B(76 patients) received reinfusion of shed blood during the operation.Group C(50 patients)only received allogenic blood transfusion.Results: In group A and B

64.5%(40/62) and 61.8%(47/76)of the patients

respectively passed perioperative period successfully without allogenic blood transfusion.However the proportion in group C was 32%(16/50).The quantity of allogenic blood transfusion used in Group C was significantly higher than that in Group A and B(P<0.05).Before or after autologous blood storage

there were no significant differences in hemoglobins and hematocrits in Group A.In Group B

the blood constituent almost reached normal one week after operation.Conclusions: Autologous blood transfusion used in hip arthroplasty is very safe

economic

with less side reactions and high quality blood transfusion.Reinfusion of autologous shed blood can be advised to use for its safety

convinence and effectiveness in the majority of arthroplasty cases.

关键词

输血人工关节髋

Keywords

TransfusionArthroplastyHip

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