Hitzler W, Bauerfeind U, Schömig-Brekner J, Mathias D
Klinische Laboratorien und Blutbank, Chirurgischen Universitätsklinik, Heidelberg.
Anasthesiol Intensivmed Notfallmed Schmerzther. 1992 Feb;27(1):18-22. doi: 10.1055/s-2007-1000246.
This study presents our preoperative autologous blood donation programme that is in use since 1987. 246 patients of cardiothoracic surgery participated in this program. 77% of all patients had preoperative concentrations of haemoglobin above 12g/dl despite frequent donations. 36.5% of patients were transfused exclusively with their own blood products. Reduction of homologous blood transfusion has been achieved with second preoperative plasmaphereses and more restricted indication for blood transfusion. More blood donation could be performed with application of erythropoietin resulting in more frequent preoperative blood donations.
本研究介绍了我们自1987年起使用的术前自体输血计划。246例心胸外科患者参与了该计划。尽管频繁采血，所有患者中77%的术前血红蛋白浓度仍高于12g/dl。36.5%的患者仅输注自身血液制品。通过术前第二次血浆置换和更严格的输血指征，实现了异体输血的减少。应用促红细胞生成素可以进行更多的献血，从而使术前献血更加频繁。
