回收式自体输血在脊柱前路稳定手术中的应用

目的 讨论通过回收式自体输血在脊柱前路减压内固定手术中的应用，提高手术的安全性，减少用血量。方法 在19例脊柱胸腰段骨折患者进行前路减压髂骨植骨椎体钉内固定时，采用回收式自体输血（洗涤式），减少异体血使用。同时回顾20例同组手术医师同种手术患者的输血量做对照。结果 19例（进口设备16例，国产设备3例）平均回输浓聚红细胞536ml，其中2例补充少量异体血。对照组输异体血947ml，明显多于回收式自体输血者（P＜0．05）。结论 在行胸腰段脊柱前路稳定手术中，采用回收式自体输血，可以明显减少输血量，有利于提高手术安全性，降低医疗费用。尤其是利用国产设备进行自体回收输血，成本低廉，操作简便，宜于推广。

USE OF INTRAOPERATIVE RED BLOOD CELL SALVAGE IN THE ANTERIOR STABILE OPERATION OF SPINAL FRACTURE

Objective To observe the clinical results in the anterior stabile operation of spinal fracture using red blood salvage. Methods Nineteen cases with spinal fracture were performed the anterior decompress operation. Blood cell salvage were used during operation. Other 20 cases were also reviewed as control group, who were received the same operation without blood cell salvage. Results In the 19 cases, average volume of autologous transfusion was 536ml. Only two cases had homologous transfusion requirements. In the control group ,all cases needed homologous tranfusion (averaged 947ml). Conclusion In the anterior decompress operation, the intraoperative blood salvage is highly effective in reducing transfusion and also improves the security of operation.