CAJ | 학술논문

目的探讨自体储血式输血对全髋关节置换术(THA)隐性失血的影响。方法40例THA患者随机分为两组A组20例，B组20例，A、B两组术前均采自体血400ml.A组：输异体浓缩红细胞400ml，B组：输注术前自体储血400ml。对患者围手术期出血情况进行统计，并根据Sehat方法计算隐性失血量。结果 THA后A组平均隐性失血量为434ml大于B组平均隐性失血量为315ml。自体储血式输血患者的隐性出血量要明显低于异体红细胞悬液输注组的患者。结论自体储血式输血可以减少THA中患者的隐性失血量。
목적탐토자체저혈식수혈대전관관절치환술(THA)은성실혈적영향。방법40례THA환자수궤분위량조A조20례，B조20례，A、B량조술전균채자체혈400ml.A조：수이체농축홍세포400ml，B조：수주술전자체저혈400ml。대환자위수술기출혈정황진행통계，병근거Sehat방법계산은성실혈량。결과 THA후A조평균은성실혈량위434ml대우B조평균은성실혈량위315ml。자체저혈식수혈환자적은성출혈량요명현저우이체홍세포현액수주조적환자。결론자체저혈식수혈가이감소THA중환자적은성실혈량。
Objective:To investigate the impact of predeposited autotransfusion on the occult bleeding after total hip arthroplasty (THA). Methods:40 cases of THA patients were randomly divided into 2 group of 20 patients of group A,group B.Each patients with preoperative autologous blood 400 ml in each A,B two groups.Group A:the volumn of al ogenic blood transfusion is 400 ml.Group B:intraoperative infusion preoperative autologous blood 400 ml.To statistics of patients with perioperative bleeding,and calculated according to the hidden blood loss Sehat method. Results:After THA average hidden blood loss was 434 ml group A more than group B,on average,group B the hidden blood loss was 315 ml.Predeposited autotransfusion hidden blood loss of blood transfusion patients significantly below the al ogeneic red blood cel suspension liquid infusion group of patients. Conclusion:patients with predeposited autotransfusion can reduce the occult bleeding during THA.