Wall W, Heimbecker R O, McKenzie F N, Robert A, Barr R
Surgery. 1976 Jan;79(1):82-8.
Six patients undergoing major elective vascular operations received an average of 1,700 ml. of intraoperative autotransfusion of shed blood. The patients were anticoagulated systemically during operation. The mean platelet count (156,000 per cubic millimeter and fibrinogen value (257 mg. per 100 ml.) were normal in autotransfused blood and the mean hemoglobin level was slightly below normal (11.5 Gm. per 100 ml.). Plasma hemoglobin values were variable. No patient suffered any complication that could be attributed to autotransfusion. Donor blood transfusion was avoided in five of the six patients by salvage and reinfusion of shed blood. No evidence of coagulopathy was found in any patient as measured by platelet count, fibrinogen level, prothrombin time, partial thromboplastin time, euglobulin clot lysis, and fibrin degradation products. The technique of intraoperative autotransfusion is described in detail.
六名接受择期大血管手术的患者平均术中自体回输失血1700毫升。手术期间对患者进行全身抗凝。自体回输血中的平均血小板计数（每立方毫米156,000个）和纤维蛋白原值（每100毫升257毫克）正常，平均血红蛋白水平略低于正常（每100毫升11.5克）。血浆血红蛋白值各不相同。没有患者出现任何可归因于自体回输的并发症。通过回收和回输失血，六名患者中有五名避免了输注异体血。通过血小板计数、纤维蛋白原水平、凝血酶原时间、部分凝血活酶时间、优球蛋白凝块溶解和纤维蛋白降解产物检测，未发现任何患者有凝血功能障碍的证据。文中详细描述了术中自体回输技术。
