Berrizbeitia Luis D, Wry Philip, Fernandez Javier
Division of Cardiothoracic Surgery, Graduate Hospital of Philadelphia, Philadelphia, PA, USA.
Heart Lung. 2008 Jul-Aug;37(4):296-8. doi: 10.1016/j.hrtlng.2007.09.002.
Ascending aorta replacement for acute aortic dissection repair was carried out in a 29-year-old man without the use of blood or blood products. Intraoperative blood loss was minimized with the use of biological glues and red cell salvage. Erythropoietic agents were started before surgery and continued during and after operative repair. Postoperatively, oxygen balance was maintained despite very low hemoglobin levels by increasing the cardiac output to compensate for the low oxygen-carrying capacity, thus maximizing oxygen delivery. Only essential laboratory determinations were carried out, which reduced additional blood loss. Repair was successful, and the patient was discharged from the hospital despite a delay in diagnosis and definitive surgical repair.
一名29岁男性在不使用血液或血液制品的情况下接受了升主动脉置换术以修复急性主动脉夹层。术中通过使用生物胶和红细胞回收技术将失血量降至最低。术前开始使用促红细胞生成剂，并在手术修复期间及术后持续使用。术后，尽管血红蛋白水平极低，但通过增加心输出量以补偿低氧携带能力，从而最大限度地提高氧输送，维持了氧平衡。仅进行必要的实验室检查，减少了额外的失血。修复手术成功，尽管诊断和确定性手术修复有所延迟，但患者仍出院。
