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[择期手术中预存式自体输血:我们的经验]

[Pre-deposited autologous blood transfusion in elective surgery: our experience].

作者信息

Lattuneddu A, Verdecchia G M, Zattini P S, Migliori G

机构信息

Divisione di Chirurgia Generale, Ospedale G.B. Morgagni-L. Pierantoni, USL 38, Forli.

出版信息

G Chir. 1990 Oct;11(10):542-4.

PMID:2126947
Abstract

The risk of contracting infective diseases, which may be potentially lethal, from transfused blood has led to a necessary critical review of the transfusion practice. Autologous transfusion eliminates such risk and appears as an ideal procedure for a pre-hospital donation program particularly useful in elective surgery. To determine the extent to which predeposited autologous blood is used in patients undergoing elective surgery and to assess whether predonation decreases the use of homologous blood and the demand of blood supply, the Authors studied 261 patients submitted to elective surgery from October 1986 to October 1989. In the Authors' opinion a predeposit autotransfusion program is cost-effective, practical and nondisruptive. Therefore, it should be considered as a necessary and standard medical practice by clinicians and patients.

摘要

因输血感染可能致命的传染病的风险,促使人们对输血操作进行必要的严格审查。自体输血消除了这种风险,似乎是院前献血计划的理想程序,在择期手术中尤为有用。为了确定择期手术患者使用预存自体血的程度,并评估预存献血是否会减少异体血的使用和血液供应需求,作者研究了1986年10月至1989年10月期间接受择期手术的261例患者。作者认为,预存自体输血计划具有成本效益、切实可行且不会造成干扰。因此,临床医生和患者应将其视为必要的标准医疗操作。

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