The effect of preoperative donation of autologous blood on deep-vein thrombosis after total hip arthroplasty
The effect of preoperative donation of autologous blood on deep-vein thrombosis after total hip arthroplasty
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DOI：
10.1302/0301-620x.83b5.10560
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发表时间：
2001-07-01
影响因子：
--
通讯作者：
Reich, LM
中科院分区：
文献类型：
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作者：
Bae, H;Westrich, GH;Reich, LM
我们评估了自体血液捐献和术前血红蛋白水平对2043例全髋关节置换术患者术后血栓栓塞发生率的影响，血红蛋白水平在手术前7至10天测定，所有患者在术后第5天对手术腿进行静脉造影。捐献过自体血的患者数量（1037人）与没有捐献过自体血的患者数量（1006人）相似。术前献血组深静脉血栓（DVT）发生率（9.0%）明显低于未献血组（13.5%）（p = 0.003）。对于所有患者，术前血红蛋白水平越低，术后DVT发生的可能性越小。在献血者中，术后肺栓塞发生率为0.3%，未献血者为0.7%，但差异无统计学意义。两组患者输血需要量无显著差异。
We have assessed the effect of the donation of autologous blood and the preoperative level of haemoglobin on the prevalence of postoperative thromboembolism in 2043 patients who had a total hip arthroplasty, The level of haemoglobin was determined seven to ten days before surgery and all patients had venography of the operated leg on the fifth postoperative day. The number of patients who had donated autologous blood (1037) was similar to that who had not (1006).A significant decrease in the incidence of deep-vein thrombosis (DVT) was noted in those who had donated blood preoperatively (9.0%) compared with those who had not (13.5%) (p = 0.003). For all patients, the lower the preoperative level of haemoglobin the less likely it was that a postoperative DVT would develop.Of those who had donated blood, 0.3% developed a postoperative pulmonary embolism compared with 0.7% in those who had not, but this difference was not statistically significant. No significant difference was found in the requirements for transfusion between the two groups.