Kawano D, Komori K, Furuyama T, Shoji T, Mori E, Yamaoka T, Kume M, Matsumoto T, Sugimachi K
Second Department of Surgery, Faculty of Medicine, Kyushu University, Fukuoka.
Fukuoka Igaku Zasshi. 2000 Jul;91(7):165-9.
To evaluate the effectiveness of preadmission autologous blood donation (PABD) and intraoperative autotransfusion (IAT) in reducing the homologous transfusion requirement of abdominal aortic aneurysm (AAA) resection, we retrospectively reviewed 232 AAA cases from January 1991 to December 1999. The patients were separated into three groups. The group I (n = 101) received no PAPD and IAT. The group II (n = 58) received only IAT. The group III (n = 73) received both PAPD and IAT. Surgical data indicating operative time and intraoperative blood loss did not differ among the three groups. However, the incidence of requirement for homologous transfusion in group III (19.2%) is significantly less than those of group I (63.4%) or group II (51.7%), although there was no significant difference between group I and group II. We concluded that the combination of PAPD and IAT are useful for reducing the incidence of requirement for homologous transfusion in the patients with aneurysmal resection.
为评估术前自体血捐献（PABD）和术中自体输血（IAT）在降低腹主动脉瘤（AAA）切除术中异体输血需求方面的有效性，我们回顾性分析了1991年1月至1999年12月期间的232例AAA病例。患者被分为三组。第一组（n = 101）未接受PABD和IAT。第二组（n = 58）仅接受IAT。第三组（n = 73）接受PABD和IAT。三组之间的手术数据，如手术时间和术中失血量并无差异。然而，第三组的异体输血需求发生率（19.2%）显著低于第一组（63.4%）或第二组（51.7%），尽管第一组和第二组之间无显著差异。我们得出结论，PABD和IAT联合使用有助于降低动脉瘤切除患者的异体输血需求发生率。
