[心脏手术患者术前自体血捐献：口服铁剂替代治疗的实验室参数]

[Preoperative autologous blood donation in heart surgery patients: laboratory parameters with oral iron substitution].

作者信息

Hofmann M R, Schüpphaus S, Taborski U, Müller-Berghaus G

机构信息

Abteilung Hämostaseologie und Transfusionsmedizin, Kerckhoff-Klinik, Bad Nauheim, BRD.

出版信息

Beitr Infusionsther. 1992;30:278-82.

PMID:1284716

Abstract

In this study we analyzed some hematologic parameters of 228 autologous blood donors at a cardiosurgic clinic. The standard schedule of drawing autologous blood at our clinic is 4 units whole blood (450 ml) and 1 unit plasma (750 ml) for a time of 5 weeks under iron substitution (equivalent to 240 mg Fe). In younger women this kind of drawing blood leads to an unacceptable decrease of hemoglobin concentration. The preoperative autologous blood donation results in an increase of erythropoiesis on the day of clinical admittance. The best parameters to supervise the hematologic situation of the outpatient autologous blood donors are the hemoglobin concentration and the hematocrit.

摘要

在本研究中，我们分析了一家心脏外科诊所228名自体血捐献者的一些血液学参数。我们诊所采集自体血的标准方案是在5周内，在补充铁剂（相当于240毫克铁）的情况下，一次采集4单位全血（450毫升）和1单位血浆（750毫升）。对于年轻女性而言，这种采血方式会导致血红蛋白浓度出现不可接受的下降。术前自体血捐献会使临床入院当天的红细胞生成增加。监测门诊自体血捐献者血液学状况的最佳参数是血红蛋白浓度和血细胞比容。