Gherli T, Porcu A, Padua G, Marongiu G, Mura L, Sale M A, Bacciu P P
Cattedra di Cardiochirurgia, Università degli Studi di Sassari.
Minerva Cardioangiol. 1991 Sep;39(9):329-31.
A drastic reduction in homologous blood or plasma transfusion becomes necessary to prevent the risks of severe infections disease transmission. The authors studied the possibility of homologous blood save in cardiac surgery by peroperative autotransfusion. This procedure, although it diminished the average blood bank requirements, above all for an unexplained decrease in postoperative bleeding, did not obtain the good results that other authors had with the technique of 2 or 3 preoperative withdrawal, storage and postoperative reinfusion. In future our trend is to associate preoperative and intraoperative withdrawals to take advantage of both techniques.
为防止严重传染病传播风险,必须大幅减少同源血液或血浆输注。作者研究了通过术中自体输血在心脏手术中保存同源血液的可能性。该方法虽然减少了血库的平均需求量,尤其是术后出血出现不明原因减少,但并未取得其他作者采用术前两次或三次采血、储存及术后回输技术所获得的良好效果。未来我们倾向于将术前和术中采血相结合,以充分利用这两种技术。