Takaori M
Department of Anaesthesiology, Kawasaki Medical School, Okayama, Japan.
Can J Anaesth. 1991 Jul;38(5):604-7. doi: 10.1007/BF03008194.
We have treated 129 cases of massive haemorrhage during surgery using our combined autotransfusion technique (HAT and SAT). No adverse reactions or complications have been noted and additional homologous blood transfusion has not been required. In addition, circulatory dynamics have been satisfactorily maintained. Although the red cell recycle rate has been maintained at over 85%, the salvaging rate of blood in the operating field has not yet reached 80%. Approximately 30% of the surgical haemorrhage appears to be discarded with surgical sponges or flow out of the operating field. Clearly the cooperation of surgeons is an important factor for success with SAT. Success in autotransfusion may be accomplished by combinations of autotransfusion techniques.
我们使用联合自体输血技术（血液回收装置和外科自体输血）治疗了129例手术期间大量出血的病例。未观察到不良反应或并发症，也无需额外输注异体血。此外，循环动力学得到了令人满意的维持。尽管红细胞回收率保持在85%以上，但术野血液的回收利用率尚未达到80%。大约30%的手术出血似乎随手术海绵被丢弃或流出术野。显然，外科医生的配合是外科自体输血成功的一个重要因素。自体输血的成功可以通过多种自体输血技术的组合来实现。
