Nazyrova L A, Khaĭdarov A E, Mansurov A A, Baĭbekov I M
Anesteziol Reanimatol. 2009 Sep-Oct(5):56-9.
Erythrocytic morphological changes were studied in 48 patients with coronary heart disease (CHD) at the stages of coronary artery bypass grafting, in whom intraoperative continuous apparatus (CATS, Fresenius, Germany) reinfusion of lost autoblood was used. The patients with CHD were found to have a significant erythrocytic morphological transformation with the oxygen status compensated by the preserved nonpathological forms of erythrocytes. Intraoperatively stable tissue oxygen delivery and rapid blood loss compensation during coronary artery bypass grafting could be provided by continuous reinfusion of lost autoblood that contained valuable erythrocytes after apparatus elimination of disrupted and degenerative forms.
对48例冠心病（CHD）患者在冠状动脉搭桥手术阶段的红细胞形态变化进行了研究，这些患者术中使用了德国费森尤斯公司的术中连续自体血回输装置（CATS）回输丢失的自体血。研究发现，冠心病患者存在显著的红细胞形态转变，其氧状态通过保留的非病理性红细胞形式得到补偿。在冠状动脉搭桥手术中，通过连续回输丢失的自体血（该自体血在去除破碎和变性形式后含有有价值的红细胞），可以实现稳定的组织氧输送和快速的失血补偿。
