自体血回输对所有心脏手术患者均有益：支持与反对的观点
Cell salvage is beneficial for all cardiac surgical patients: arguments for and against.
作者信息
Baker Robert A, Merry Alan F
机构信息
Cardiac and Thoracic Surgical Unit, Department of Surgery, Flinders Medical Centre and Flinders University, Adelaide, South Australia, Australia.
出版信息
J Extra Corpor Technol. 2012 Mar;44(1):P38-41.
Abstract
Extensive literature has been published evaluating the use of cell salvage in cardiac surgery. However, the most recently published blood management guidelines do not give unequivocal direction on the use of cell salvage in cardiac surgical procedures and neither do recent meta-analyses and randomized controlled trials. In part, this reflects variation in the details of how cell salvage is used, including the specific equipment chosen. Consensus on the optimal approach to cell salvage would be helpful. A well-designed, appropriately powered, multicenter study could then be carried out with one or more specified devices to evaluate the efficacy of this agreed approach to cell salvage in the cardiac surgical environment.
摘要
已经发表了大量文献评估细胞回收技术在心脏手术中的应用。然而，最近发布的血液管理指南并未就细胞回收技术在心脏手术中的应用给出明确指导，近期的荟萃分析和随机对照试验也没有。部分原因在于细胞回收技术的使用细节存在差异，包括所选用的具体设备。就细胞回收的最佳方法达成共识将有所帮助。然后可以使用一种或多种特定设备开展一项设计良好、样本量充足的多中心研究，以评估这种商定的细胞回收方法在心脏手术环境中的疗效。
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本文引用的文献
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Cell saving systems do not reduce the need of transfusion in low-risk patients undergoing cardiac surgery.细胞回收系统并不能减少低风险心脏手术患者的输血需求。
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Dealing with pericardial suction blood and residual pump volume: a review of current practices in the UK.处理心包吸引血和泵残余血量：英国当前实践综述
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