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[采用先前储存的血制品进行自体输血]

[Autotransfusion with previously deposited blood units].

作者信息

Monleón M A

机构信息

Banco de Sangre, Servicio Navarro de Salud Osasunbidea.

出版信息

Rev Enferm. 2001 Feb;24(2):91-4.

Abstract

This article analyzes the results obtained in the development of a Prior Deposited Self-Transfusion Program among patients who plan to have orthopedic or kidney surgery. The 69 patients in this program deposited 183 blood unit, 2.6 units/patients with a range of 1 to 5, of which 153 were transfused. The initial hemoglobin and hematocrit levels were 14.3 g/dl (range 11.4-16.8) and 43.3% (range 36-50) respectively; at the end of this self-transfusion program, these values were 12.4 g/dl (range 10.0-15.6) and 37.7% (range 31-48). A homologous transfusion was avoided in 88.4% of the cases. This Self-Transfusion Program is safe and effective, easy to implement, well-tolerated and can be carried out with an acceptable risk level for patients.

摘要

本文分析了在计划进行骨科手术或肾脏手术的患者中开展预先储存自体输血计划所取得的结果。该计划中的69名患者储存了183个血液单位,人均2.6个单位,范围为1至5个单位,其中153个单位被用于输血。初始血红蛋白和血细胞比容水平分别为14.3 g/dl(范围11.4 - 16.8)和43.3%(范围36 - 50);在该自体输血计划结束时,这些值分别为12.4 g/dl(范围10.0 - 15.6)和37.7%(范围31 - 48)。88.4%的病例避免了异体输血。该自体输血计划安全有效,易于实施,耐受性良好,并且可以在患者可接受的风险水平下进行。

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