Vagner E A, Ortenberg Ia A, Bruns V A, Protopopov V V, Kubarikov A P
Khirurgiia (Mosk). 1991 Sep(9):102-6.
The authors had 110 patients with heart injuries (HI) under observation. The blood loss was, 1,092 +/- 120 ml in isolated HI and 2,410 +/- 246 ml in combined HI. Blood reinfusion (BR) was performed during 91 operations, the average volume was 1,233 +/- 215 ml. The peculiarities of reinfusion techniques are analysed and its advantages and shortcomings are critically appraised. The causes of fatal outcomes are shown according to the character of the heart damage and the volumes of blood loss and reinfusion. Mortality in HI with the use of BR was 16.5%.
作者对110例心脏损伤(HI)患者进行了观察。单纯HI患者的失血量为1092±120ml,合并HI患者的失血量为2410±246ml。91例手术中进行了血液回输(BR),平均回输量为1233±215ml。分析了回输技术的特点,并对其优缺点进行了批判性评估。根据心脏损伤的特征、失血量和回输量显示了死亡原因。使用BR的HI患者死亡率为16.5%。