抄録
Since 1990, we have used the predeposited autologous blood transfusions for elective orthopaedic surgery. This series consisted of 63 patients, 29 men and 34 women, who suffered from various diseases (19 with spinal canal stenosis, 17 with aseptic necrosis of femoral head, 10 with osteoarthrosis of hip or knee joint, 17 with other orthopaedic conditions). The average age was 55 years (range, 12 to 88 years). The operations included 29 implant arthroplasties, 23 laminectomies, and 11 other procedures. All patients who had a hemoglobin of more than 11mg/dl without any infection and tumors deposited blood for autologous transfusion. An average of 392ml of blood was obtained. In 43 patients (68 percent), only autologous blood was required for transfusion. No complications were encountered in this study except one patient with transient vertigo.
We conclude that the autologous blood transfusion is a simple, safe and useful method for orthopaedic procedures in which homologous blood may be needed.
