Mortimer P P
Health Protection Agency, Centre for Infections, 61 Colindale Avenue, NW9 5EQ, London, UK.
Transfus Med. 2009 Dec;19(6):304-8. doi: 10.1111/j.1365-3148.2009.00941.x. Epub 2009 Sep 1.
Ninety years ago Alexander Fleming (later to discover penicillin) jointly wrote a description of the use of indirect transfusions of citrated blood at a World War 1 (WW1) base hospital. It was the longest series yet to be published, incorporating what was then a novel procedure for treating war casualties. Returning to civilian life Fleming, a qualified surgeon and bacteriologist, chose a different career path, and not until the wars of the late 1930s were the advances in transfusion in WW1 fully incorporated into the management of trauma and haemorrhage. Like penicillin, the benefits of indirect transfusion were only slowly realised.
九十年前，亚历山大·弗莱明（后来发现了青霉素）与人合著了一篇关于在第一次世界大战（一战）基地医院使用枸橼酸化血液进行间接输血的描述。这是当时已发表的最长系列研究，其中包含了一种当时治疗战争伤员的新方法。回到平民生活后，身为合格外科医生和细菌学家的弗莱明选择了不同的职业道路，直到20世纪30年代后期的战争，一战中输血方面的进展才被全面纳入创伤和出血的治疗中。与青霉素一样，间接输血的益处也是逐渐才被认识到的。
