Machave Y V
Bharati Vidyapeeth (Deemed University) Medical College, Pune.
Indian J Pediatr. 2001 Feb;68(2):141-4. doi: 10.1007/BF02722033.
Due to enormous risks of transfusion-transmitted diseases in allogenic blood transfusions, including dreaded AIDS, there has been constant endeavour to look for a safer alternative. Autologous transfusion which is transfusion of blood/component donated by intended recipient, has proved to be a safe and viable alternative. Initially tried in 1874 in the form of blood salvage, the process has become popular since 1971 with better PVC containers and storage facilities. Due to ignorance and lack of interest the procedure in still unpopular in India. It is very useful for preventing complications of allogenic transfusion and in rare blood group or patients for whom it is difficult to find compatible blood. Since 1980s the procedure is being widely used. Maximally used category is preoperative donation. Strict protocols regarding selection, storage and labelling are essential. There has been tenfold increase in the preoperative autologous donations in many centres. Isovolemic hemodilution and blood salvage are also being used. The procedure has also been used for preteenage and paediatric ages successfully. 1 to 5 units can be collected from single donor. Now the popularity of the procedure has increased due to awareness and interest.
由于异体输血存在感染输血传播疾病的巨大风险，包括令人恐惧的艾滋病，人们一直在不断努力寻找更安全的替代方法。自体输血，即输注由预期受血者自身捐献的血液/成分，已被证明是一种安全可行的替代方法。自体输血最初于1874年以血液回收的形式进行尝试，自1971年以来，随着更好的聚氯乙烯容器和储存设施的出现，这一过程变得流行起来。由于无知和缺乏兴趣，该程序在印度仍然不受欢迎。它对于预防异体输血的并发症以及对于罕见血型或难以找到匹配血液的患者非常有用。自20世纪80年代以来，该程序被广泛使用。使用最多的类别是术前献血。关于选择、储存和标记的严格规程至关重要。许多中心的术前自体献血量增加了十倍。等容血液稀释和血液回收也在使用。该程序也已成功用于青少年和儿童。单次献血者可采集1至5个单位的血液。现在，由于意识提高和人们的兴趣，该程序的普及程度有所提高。
