Clinical Evaluation of Concentrated Red Cell Preserve with MAP Solution in Orthognathic Surgery

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Thirty-eight patients with jaw deformity were operated on in our hospital from January to October in 1993. Thirty-five of them (male: 13, female: 22, mean age: 21.5) had received autotransfusion. A total of 400ml of blood from each patient was collected into a "quadruple-bag ACD-MAP" 5 weeks before surgery, and the red-cells and the plasma were separated. In this study, the relation between the recovery of anemia after 400ml phlebotomy and the administration of sodium ferrous citrate were investigated. (1) After the administration of sodium ferrous citrate, the amemic levels of hemoglobin, serum iron and serum ferritin after 400ml phlebotomy recovered within 5 weeks. (2) Decrease of the levels of serum iron and serum ferritin were prevented. (3) In patients with controlled serum ferritin levels under 30ng/ml, increase of the levels of controlled serum ferritin was confirmed before phlebotomy by the administration of the sodium ferrous citrate.
特定非営利活動法人日本顎変形症学会の論文