Fleming R, Nascimento F, Madahil A S
Serviço de Imuno-Hemoterapia, Hospital de Santa Maria, Lisboa.
Acta Med Port. 1991 May-Jun;4(3):134-7.
The results of a presurgical autologous blood transfusion program for two years are analysed. 1,709 patients were submitted to this program, but appraisable results were only obtained in 1,473. In 39.54% of these ones only autologous blood was used; 19.2% used both autologous and homologous blood; in 41.27% no blood was used; 23.8% of the blood for autologous transfusion was used as homologous. We conclude that closer relationship is necessary between Blood Bankers, Surgeons and Anesthesiologists, in order to coordinate transfusional needs and surgery date. Shall this be possible, then more patients may benefit, cases where blood use is unprobable may be selected and unnecessary risks of homologous blood transfusion may be avoided.
对一项为期两年的术前自体输血计划的结果进行了分析。1709名患者参与了该计划,但仅在1473名患者中获得了可评估的结果。在这些患者中,39.54%仅使用了自体血;19.2%同时使用了自体血和异体血;41.27%未使用血液;23.8%的自体输血用血液被用作异体血。我们得出结论,血库工作人员、外科医生和麻醉医生之间需要更密切的合作,以便协调输血需求和手术日期。如果能够做到这一点,那么更多的患者可能会受益,可以选择那些不太可能使用血液的病例,并且可以避免异体输血的不必要风险。