각종 수술시 소요된 수혈량의 비교 관찰

Abstract

Blood transfusion is indicated the surgical patient to maintain circulating blood volume, provide adequate oxygenation, and maintain clotting factor levels. Anethesiologists should known the time and volume of blood transfusion in order to carry out transfusion effectively. We measured the amount of transfused blood and plasma expander used during general or spinal anesthesia surgery for four years (from Jan. 1977 to Dec. 1980) and obtained the following results. The total amound of transfused blood were 6563 pints and those of plasma expander were 1769 bottles. The compensated amounts to blood loss were average 1044 ml in each case. The amounts of tranfused blood used in each surgical dept. were different. The thoracic surgery department used the most averaging 4.76 pints and least in urologic dept. at 1.48 pints. The number of operations increased year after year but the average amount of transfused blood showed a decreasing tendency and that of plasma expander showed increasing tendency. The average compensated amount for blood loss among the following operations were 831 ml in a gastrectomy, 895 ml in a hysterectomy, 1089 ml in a nephrectomy, 2244 ml in a lobectomy, 1165 ml in a craniotomy and 1313 ml in a intramedullary nailing.