Laffitte P, Orsoni P, Vergoz D, Brossard Y
J Chir (Paris). 1975 Jan;109(1):37-51.
This procedure is well known, there were 2 000 cases reported in the literature with a very small number of complications. Is autotransfusion really efficacious? According to the author's results in 9 cases of hemoperitoneum, the red cells obtained by this method are quantitatively valid, but hemolysis starts early (6 hours) and the disappearance of the platelets and coagulation factors occurs even more early (2 hours). However, clinical tolerance is perfect, thus confirming the good experimental results obtained in animals. The true limits are hemolysis and the risk of contamination but, with appropriate apparatus and precise indications, and unsoiled blood, less than 24 hours old, autotransfusion is a good method which may provide a solution in certain emergencies.
这个 procedure 是众所周知的，文献中报道了 2000 例病例，并发症数量极少。自体输血真的有效吗？根据作者对 9 例血腹病例的结果，通过这种方法获得的红细胞在数量上是有效的，但溶血很早就开始了（6 小时），血小板和凝血因子的消失甚至更早（2 小时）。然而，临床耐受性良好，从而证实了在动物身上获得的良好实验结果。真正的限制是溶血和污染风险，但是，使用适当的设备、明确的适应症以及不超过 24 小时的未受污染血液，自体输血是一种很好的方法，在某些紧急情况下可能提供一种解决方案。
