Winkler M, Kühnl P, Kremer B, Henne-Bruns D, Lang T
Abt. für Transfusionsmedizin, Universitätsklinik Hamburg.
Beitr Infusionsther. 1990;26:194-6.
Among all major organ transplantations, orthotopic liver transplantation (LTX) requires the most extensive blood component support. From 1984 till 1989 we performed 30 LTX procedures on 27 patients. The number of blood components used totalled 1,000 units of packed red cells (RBC), 966 units of fresh-frozen plasma, 246 units of whole blood, 170 units of random-donor platelet-rich plasma and 71 units of platelet concentrates from cell separator. Three retransplantations were performed within 2 days after the first LTX. The lowest use of blood components was registered in patients with hepatoma, the highest in alcoholtoxic cirrhosis. Ten of the 27 patients are still alive.
在所有主要器官移植中，原位肝移植（LTX）需要最广泛的血液成分支持。1984年至1989年期间，我们对27例患者进行了30例原位肝移植手术。使用的血液成分总数为1000单位浓缩红细胞（RBC）、966单位新鲜冰冻血浆、246单位全血、170单位随机供体富血小板血浆和71单位来自细胞分离器的血小板浓缩物。在首次原位肝移植后2天内进行了3次再次移植。血液成分使用量最低的是肝癌患者，最高的是酒精性中毒肝硬化患者。27例患者中有10例仍然存活。
