免费翻盖乳房重建患者的输血率:单中心体验
Oliver Blanshard1, Lucinda Knight1, Toby Noton1
1Plastic and Reconstructive Surgery, Imperial College Healthcare NHS Trust, London, GBR.
Cureus
|February 3, 2025
概括
使用自由片进行乳房重建的输血率较低 (2.4%). 术前组和保存 (G&S) 采样通常不需要,从而降低了成本和实验室资源使用.
科学领域:
- 整形外科 整形外科 整形外科
- 手术瘤学手术瘤学
- 输血医学 输血医学
背景情况:
- 之前的研究表明,在深下腹膜穿孔器 (DIEP) 片乳房重建中,输血率较低.
- 横向上 (TUG) 片输血率尚未研究.
- 资源利用,包括组和保存 (G&S) 抽样,需要评估.
研究的目的:
- 量化免费翻盖乳房重建中的输血率.
- 确定这些患者进行手术前G&S采样的必要性.
主要方法:
- 一年时间内对电子记录 (患者,输血,手术,处方) 的回顾性审查.
- 对红细胞输血和G&S采样实践的分析.
- 收集数据的描述性统计分析.
主要成果:
- 124名患者接受了自由胸部重建 (105名DIEP,14名TUG).
- 三名患者 (2.4%) 需要输血,所有患者都是DIEP后的,因为出血缓慢和血红蛋白低.
- 没有发生突发性输血;所有使用交叉匹配血液.
结论:
- 常规的手术前G&S采样不需要用于自由片乳房重建.
- 考虑G&S对于具有非典型抗体风险的患者.
- 合理的G&S使用可以降低成本和实验室资源利用.
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