Lubitz B, Roos D
Abt. für Transfusionsmedizin und Transplantationsimmunologie, Universität Hamburg.
Beitr Infusionsther. 1990;26:261-3.
We started our preoperative autologous blood donation program in January 1987, comprising orthopedic, cardiological and gynecological patients with prospective perioperative homologous blood requirements. The safety and practicability of our program could be improved by a precise definition of organizational procedures and the development of a special EDP program. The number of patients/units of autologous blood increased from 35/85 in 1987 to 68/260 in 1988 and will reach approximately 120/500 in 1989. Severe side effects did not occur during that period, 72% of the autologous units were transfused, 80% of the patients did not need additional homologous blood transfusions. Considering unsolved problems of homologous blood transfusions, further development of preoperative autologous blood programs is necessary.
我们于1987年1月启动了术前自体输血计划，对象包括有围手术期预期同种异体输血需求的骨科、心脏科和妇科患者。通过精确界定组织程序和开发特殊的电子数据处理程序，我们计划的安全性和实用性得以提高。自体输血的患者数量/单位从1987年的35/85增加到1988年的68/260，预计1989年将达到约120/500。在此期间未发生严重副作用，72%的自体输血单位被使用，80%的患者无需额外的同种异体输血。鉴于同种异体输血存在尚未解决的问题，术前自体输血计划有必要进一步发展。
