Kurisu K, Yonenaga K, Miyamoto K, Furusho N, Nishimura K
Department of Cardiovascular Surgery, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Kyobu Geka. 1999 Jun;52(6):438-41; discussion 441-4.
Open heart surgery without the use of homologous blood transfusion was attempted in 81 pediatric patients weighing 5.5-14.9 kg. Autologous blood was donated from arterial monitoring line after induction of anesthesia. This donated blood, actual volume of 9.2 +/- 1.7 ml/kg, was reinfused following the cessation of extracorporeal circulation. Hemodilution resulting from autologous blood donation was well tolerated by all patients. Sixty-eight patients (84%) were operated on successfully without the need for homologous blood. These data suggest that autologous blood donation from arterial monitoring line is a safe and effective method to avoid homologous blood transfusion especially in infants and young children undergoing open heart surgery.
对81名体重在5.5至14.9千克之间的儿科患者尝试进行不使用同种异体输血的心脏直视手术。麻醉诱导后从动脉监测管路采集自体血。采集的这些血液，实际量为9.2±1.7毫升/千克，在体外循环停止后回输。所有患者对自体献血导致的血液稀释均耐受良好。68名患者（84%）成功完成手术，无需同种异体输血。这些数据表明，从动脉监测管路采集自体血是一种安全有效的方法，可避免同种异体输血，尤其适用于接受心脏直视手术的婴幼儿。
