Fedorova T A, Ragimov A A, Bogomazova I V, Rogachevskiĭ O V, Dzhabrailova D A
Anesteziol Reanimatol. 2007 Nov-Dec(6):48-51.
The paper deals with the development and use of original adequate transfusion-infusion programs to compensate for blood loss in abdominal hysterectomies for uterine myomas of varying sizes, by applying the current blood-supplying technologies that permit avoidance of transfusion of donor blood components. Four blood loss-replenishing programs in abdominal hysterectomy for large-sized myomas were studied for impact on the basic functions in premenopasal women. These included: (1) preoperative blood storage of blood autocomponents; (2) normovolemic hemodilution with hydroxyethyl starch (HES) solution being used as a dilutant; (3) administration of HES solutions as an independent solution compensating for blood loss, and (4) intraoperative reinfusion of autoerythrocytes. The proposed transfusion-infusion programs in abdominal hysterectomy for large-sized myomas by applying blood-preserving methods are effective in avoiding the use of donor blood components and accordingly in reducing the frequency of complications associated with transfusions of donor blood components, and improving the postoperative period.
本文探讨了通过应用当前允许避免输注供血者血液成分的供血技术，开发和使用原创性的适当输血输液方案，以补偿不同大小子宫肌瘤腹式子宫切除术中的失血。研究了四种针对大型肌瘤腹式子宫切除术的失血补充方案对绝经前女性基本功能的影响。这些方案包括：（1）术前自体血液成分储存；（2）以羟乙基淀粉（HES）溶液作为稀释剂进行等容血液稀释；（3）将HES溶液作为独立溶液输注以补偿失血；（4）术中自体红细胞回输。所提出的通过应用血液保护方法进行大型肌瘤腹式子宫切除术的输血输液方案，在避免使用供血者血液成分方面是有效的，从而降低了与供血者血液成分输血相关的并发症发生率，并改善了术后恢复情况。
