CAJ | 학술논문

骨外科手术中常面临大出血的危险，需大量输注红细胞等血液制品，但异体输血可增加患者的病死率，因此，在围术期采取综合措施进行血液保护是骨外科手术的热点问题。当前骨外科手术中血液保护的策略有院术前自体血储备、血液稀释、控制性降压、自体血液回收、合理使用药物和体温保护等。本文就各种血液保护策略在骨外科手术中的临床应用作一综述。
골외과수술중상면림대출혈적위험，수대량수주홍세포등혈액제품，단이체수혈가증가환자적병사솔，인차，재위술기채취종합조시진행혈액보호시골외과수술적열점문제。당전골외과수술중혈액보호적책략유원술전자체혈저비、혈액희석、공제성강압、자체혈액회수、합리사용약물화체온보호등。본문취각충혈액보호책략재골외과수술중적림상응용작일종술。
During orthopaedic surgery, the patients often face the risk of massive haemorrhage, and need to infuse a lot of red blood cells, but allogeneic blood transfusion might increase the patients’mortality. Therefore, using an inte-grated blood conservation measures has become a hot issue in orthopaedic surgery. Nowadays there are various periop-erative blood conservation strategies, such as preoperative autologous donation, hemodilution, controlled hypotension, cell salvage, rational use of drugs, temperature protection and so on. This article summarized a variety of blood conser-vation strategies in the clinical application of orthopaedic surgery briefly.