Preoperative autologous blood donation for oral and maxillofacial surgery: An analysis of 913 patients
Preoperative autologous blood donation for oral and maxillofacial surgery: An analysis of 913 patients
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DOI：
10.1016/j.joms.2004.05.225
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发表时间：
2005-03-01
影响因子：
1.9
通讯作者：
Pogrel, MA
中科院分区：
文献类型：
--
作者：
Nath, A;Pogrel, MA
目的：自动输血常用于择期外科手术，是加州法律规定的强制选择。由于未使用的单位不能输注给其他患者，因此重要的是要评估利用率并尽量减少浪费。方法：在加州大学旧金山弗朗西斯科，对913例连续患者的输血需求进行了评估，分为3类：肿瘤和重建手术（563例），正颌手术（260例）和颞下颌关节手术（90例）。24.9%的患者选择术前自体献血。24.2%，20.6%，和11.4%的肿瘤和重建手术，正颌外科手术，颞下颌关节手术的病人，分别进行了自体捐赠术前，随后接受输血postoperation.Conclusion：输血的需要，大多数口腔外科手术程序明显高估;当要求患者参与术前自体献血时，应考虑到与这些程序相关的相对较低的失血风险。(C)2005年美国口腔颌面外科医师协会。
Purpose: Autologous transfusions are frequently used with elective surgical procedures and are a mandated choice under California law. Because unused units cannot be transfused to other patients, it is important to assess utilization and minimize waste.Methods: The transfusion needs of 913 consecutive patients scheduled for major oral and maxillofacial surgery at the University of California San Francisco were evaluated in 3 categories: oncologic and reconstructive surgery (563), orthognathic surgery (260), and temporomandibular joint surgery (90).Results: 24.9% of patients chose to undergo preoperative autologous blood donation. 24.2%, 20.6%, and 11.4% of oncologic and reconstructive surgery, orthognathic surgery, and temporomandibular joint surgery patients, respectively, who made an autologous donation preoperatively, subsequently received a transfusion postoperatively.Conclusion: Transfusion needs for most oral surgery procedures are clearly overestimated; the relatively low risk of blood loss associated with these procedures today should be taken into account when asking patients to participate in preoperative autologous blood donation. (C) 2005 American Association of Oral and Maxillofacial Surgeons.