Dietrich G, Kretschmer V
Abteilung für Transfusionsmedizin und Gerinnungsphysiologie, Klinikum Philipps-Universität Marburg/Lahn.
Beitr Infusionsther. 1991;28:348-55.
In Germany the quality control for homologous blood preparations is well-established. On the other hand, the quality assurance for autologous blood products is much more complicated, due to more problems concerning blood collection and preparation. Therefore, quality control is even more strongly indicated in autologous hemotherapy. On the basis of existing standards for the preparation of homologous blood components, we defined guidelines for the quality control of the autologous preoperative blood deposit, plasmapheresis, acute normovolemic hemodilutions and the intraoperative autotransfusions. We took into account that particularly the perioperative techniques only allow the collection of blood components with a reduced quality. The guidelines include the recommendation of adequate schooling for the staff.
在德国,同源血液制品的质量控制体系完善。另一方面,自体血液制品的质量保证则复杂得多,因为在血液采集和制备方面存在更多问题。因此,自体血液疗法中的质量控制更为关键。基于现有的同源血液成分制备标准,我们制定了自体术前血液储存、血浆置换、急性等容血液稀释及术中自体输血的质量控制指南。我们考虑到,尤其是围手术期技术仅允许采集质量有所降低的血液成分。这些指南包括为工作人员提供充分培训的建议。