Fosse E, Svennevig J L, Semb G, Skulberg A
Thoraxkirurgisk seksjon, Kirurgisk avdeling, Oslo.
Tidsskr Nor Laegeforen. 1990 Feb 28;110(6):698-700.
We have studied the effect of blood-saving measures in open heart surgery. Such measures were introduced in 1987. All fluids administered on the day of operation and on the first postoperative day were registered in all cardiac patients operated during one month in 1986, 1987, 1988. In 1986 the patients were exposed to a median of 21 donors while in 1988 they were exposed to a median of 2 donors. The reduction in transfusions was achieved by substituting plasma by polygeline, by giving thrombocytes only when there was a low thrombocyte count and by accepting a hemoglobin value of 9 g/100 ml before transfusion of erythrocytes. In 1988 most postoperatively drained blood was retransfused using a Sorensen retransfusion set. The reduction in transfusions has reduced the cost of each open heart operation by NOK 11,662.
我们研究了心脏直视手术中血液保存措施的效果。这些措施于1987年开始采用。对1986年、1987年、1988年期间接受手术的所有心脏病人，记录了手术当天及术后第一天输入的所有液体。1986年，病人平均接受21位供血者的血液，而1988年，这一数字为平均2位供血者。通过用聚明胶肽替代血浆、仅在血小板计数低时才给予血小板以及将红细胞输血前的血红蛋白值设定为9 g/100 ml，实现了输血量的减少。1988年，术后引流的大部分血液使用索伦森回输装置进行了回输。输血量的减少使每例心脏直视手术的成本降低了11,662挪威克朗。
