REQUIREMENTS FOR CROSS-MATCHED BLOOD IN BURNS SURGERY

被引：14

作者：

DYE, DJ

机构：

[1] Welsh Regional Burns and Plastic Surgery Unit, St Lawrence Hospital, Chepstow, Gwent

来源：

BURNS | 1993年 / 19卷 / 06期

关键词：

D O I：

10.1016/0305-4179(93)90014-Y

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

This prospective study of operative blood loss during burns surgery in 142 patients demonstrated no significant difference between the loss seen during layered excision and grafting up to 7 days after thermal injury and that observed during formal excision and grafting from 8 days onward. There was no significant difference between the blood loss in infants under 3 years old and that seen in older children and adults. From the data obtained, a graphical 'tariff' has been constructed for both children up to 20 kg and older children and adults over 20 kg in weight for the ordering of cross-matched blood for perioperative transfusion. It is suggested that the use of this tariff will help to strike a balance between the wasteful overprovision and dangerous underprovision of cross-matched blood for burns surgery.

引用

页码：524 / 528

页数：5

共 10 条

[1]

Budny, Regan, Roberts, The estimation of blood loss during burns surgery, Burns, 19, pp. 134-137, (1993)

[2]

Cason, Treatment of Burns, (1981)

[3]

Howie, Anaesthesia for grafting procedures, Balliére's Clinical Anaesthesiology, 1-3, pp. 619-633, (1987)

[4]

Lund, Browder, The estimation of areas of burns, Surg. Gynaecol. Obstet., 79, pp. 352-358, (1944)

[5]

Miller, Finley, Waltman, Et al., Burn size estimate reliability: a study, Burns, 12, pp. 546-559, (1991)

[6]

Moran, O'Reilly, Furman, Et al., A new algorithm for calculation of blood loss in excisional burns surgery, Am. Surg., 54, pp. 207-208, (1988)

[7]

Napier, Biffin, Lay, Efficiency of use of blood for surgery in South and Mid Wales, Br. Med. J., 291, pp. 799-801, (1985)

[8]

Snelling, Quantitative evaluation of blood loss during debridement and grafting of burns, Can. J. Surg., 25, pp. 416-417, (1982)

[9]

Spijker, Anaesthesia for early excision of extensive full-thickness burns, Proceedings of the Symposium for the Treatment of Burns, (1975)

[10]

Topley, Jackson, The clinical control of red cell loss in burns, J. Clin. Pathol., 10, pp. 1-19, (1957)

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