Müller N, Lefèvre H, Jorch G
Institute for Transfusion Medicine, University Hospitals, Münster, FRG.
Beitr Infusionsther. 1992;30:145-8.
The intensive care of very immature preterm infants is of special significance in the treatment of neonates with blood and blood components. A new, practicable transfusion concept has been developed for this group with its high and often acute need of hemotherapeutic measures: 30-ml packs containing packed red cells of blood group 0 Rh neg, free of 'immune' anti-A/B and anti-CMV-free, or deep-frozen fresh plasma of blood group AB. This concept has the advantages of simplified pretransfusional serology, reduced blood requirement with simplified storage, fresher stored blood due to more rapid turnover, reduced risk of infection through reduction in number of donors per patient, implying a reduced strain on patients and personnel, and the opportunity provided by the reduced thawing time and the eliminated risk of error to commence therapy immediately after the decision.
对于患有血液及血液成分相关疾病的新生儿，对极不成熟的早产儿进行重症监护具有特殊意义。针对这一有大量且常为急性血液治疗需求的群体，已制定了一种新的可行输血方案：30毫升装的0型Rh阴性浓缩红细胞，不含“免疫性”抗A/B且无抗巨细胞病毒，或AB型深冻新鲜血浆。该方案具有以下优点：简化输血前血清学检查，通过简化储存减少血液需求，因周转更快使储存血液更新鲜，通过减少每位患者的供血者数量降低感染风险，这意味着减轻患者和医护人员的负担，以及减少解冻时间和消除错误风险带来的机会，使在做出决定后可立即开始治疗。
