SALVAGE AND REINFUSION OF POSTOPERATIVE SANGUINEOUS WOUND DRAINAGE - A PRELIMINARY-REPORT
SALVAGE AND REINFUSION OF POSTOPERATIVE SANGUINEOUS WOUND DRAINAGE - A PRELIMINARY-REPORT
复制标题
DOI：
10.2106/00004623-199274050-00003
复制
发表时间：
1992-06-01
影响因子：
5.3
通讯作者：
LEVINE, DB
中科院分区：
文献类型：
--
作者：
CLEMENTS, DH;SCULCO, TP;LEVINE, DB
35例接受后路腰椎融合术、全髋关节置换术或全膝关节置换术的患者被分为两组：A组接受未清洗、过滤的伤口出血引流，B组接受清洗、过滤的伤口出血引流。本前瞻性研究的目的是评估骨科手术后伤口回收的冲洗引流液与未冲洗引流液再输注的安全性、有效性和难度。A组16例患者每次全膝关节置换术平均使用未洗引流液475毫升，每次全髋关节置换术平均使用未洗引流液427毫升，每次后路腰椎融合术平均使用10毫升。并发症包括立即低血压（2例），高热（1例），再输注5小时后低血压（1例）。后者在手术后4天死于大面积心肌梗塞。B组19例患者每次全膝关节置换术平均接受193毫升洗涤过滤引流，每次全髋关节置换术平均接受203毫升，每次后路脊柱融合术平均接受179毫升。这些患者的伤口冲洗引流液的抢救和回输均无问题。
Thirty-five patients who were to have posterior spinal arthrodesis, total hip arthroplasty, or total knee arthroplasty were entered into one of two groups: Group A, to receive unwashed, filtered sanguineous drainage from the wound, or Group B, to receive washed, filtered drainage. The purpose of this prospective study was to evaluate the safety, efficacy, and difficulty of reinfusion of washed compared with unwashed drainage that had been salvaged from the wound after an orthopaedic operation.The sixteen patients in Group A received a mean of 475 milliliters of unwashed drainage for each total knee arthroplasty, 427 milliliters for each total hip arthroplasty, and ten milliliters for the one posterior spinal arthrodesis. The complications included immediate hypotension (two patients), hyperthermia (one patient), and hypotension five hours after reinfusion (one patient). The latter patient died, four days after the operation, of a massive myocardial infarction.The nineteen patients in Group B received a mean of 193 milliliters of washed, filtered drainage for each total knee arthroplasty, 203 milliliters for each total hip arthroplasty, and 179 milliliters for each posterior spinal arthrodesis. Salvage and reinfusion of washed drainage from the wound caused no problems in these patients.