Faust R J, Warner M A
Department of Anesthesiology, Mayo Clinic, Rochester, MN 55905.
Int Anesthesiol Clin. 1990 Fall;28(4):184-9. doi: 10.1097/00004311-199002840-00002.
Hepatitis remains the most serious transfusion risk, in terms of incidence and severity. Transfusion-associated AIDS, hemolytic reactions, TRALI, and anaphylaxis are severe problems that occur relatively rarely, while febrile reactions and mild allergic reactions are common but not serious. The key to avoiding all these complications is autotransfusion (see the article "Autologous Transfusion" in this issue). Although intraoperative scavenging became available in many centers in the United States in the 1980s, it is hoped that pre-deposit autotransfusion will also become widely utilized in the next decade.
就发病率和严重程度而言，肝炎仍然是最严重的输血风险。与输血相关的艾滋病、溶血反应、输血相关急性肺损伤和过敏反应是相对罕见但严重的问题，而发热反应和轻度过敏反应很常见但并不严重。避免所有这些并发症的关键是自体输血（见本期“自体输血”一文）。尽管术中血液回收技术在20世纪80年代在美国的许多中心已可用，但人们希望预存式自体输血在未来十年也能得到广泛应用。
