Radović M, Vojvodić V
Vojnomedicinska akademija, Institut za transfuziologiju-SSNO-Sanitetska uprava.
Vojnosanit Pregl. 1991 May-Jun;48(3):195-200.
Use of blood, albumin and infusion solutions is one of the essential measures in management of war casualties which significantly contributes to the decline in mortality rate of war injured. Human blood and albumin represents the critical national resources which, beside the other, are characterised by limitation of sources and manace of enemy's combat operations. However, because blood and albumin would not be available in sufficient quantities, it is necessary to provide solutions for infusion, since the infusion is the obligatory component of modern management of injured in war and peace. For this reason each injured should be provided 0.35 l of blood, 0.25 l of 5% albumin solution, 0.5 l of 6% clinical dextrane solution and one litre of crystalloid solutions. The availability of these quantities is directly proportional with the effectiveness of the systems for provision of blood, albumin and infusion solutions. The success of the systems depend on realisation of the definite prerequisites, especially of mass and well-organised blood donor service, qualified blood collecting personnel and modern equipment including mobile laboratories for production of solutions for infusion.
血液、白蛋白及输液溶液的使用是战争伤员救治中的重要措施之一,对降低战伤死亡率有显著作用。人血和白蛋白是重要的国家资源,除此之外,还具有来源有限及受敌方作战威胁的特点。然而,由于血液和白蛋白无法足量供应,有必要提供输液溶液,因为输液是现代战争与和平时期伤员救治的必要组成部分。因此,应为每名伤员提供0.35升血液、0.25升5%白蛋白溶液、0.5升6%临床右旋糖酐溶液和1升晶体溶液。这些数量的可获得性与血液、白蛋白及输液溶液供应系统的有效性直接相关。这些系统的成功取决于特定前提条件的实现,特别是大规模且组织良好的献血服务、合格的采血人员以及包括用于生产输液溶液的移动实验室在内的现代设备。