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术中血液回收。

Intraoperative blood recovery.

机构信息

Departments of Anesthesiology and Bioengineering, University of Pittsburgh, The McGowan Institute for Regenerative Medicine, Pittsburgh, Pennsylvania, USA.

出版信息

ASAIO J. 2013 Jan-Feb;59(1):11-7. doi: 10.1097/MAT.0b013e31827b5187.

DOI:10.1097/MAT.0b013e31827b5187
PMID:23232181
Abstract

Allogeneic transfusion, or transfusion of blood banked blood has been associated with a litany of complications for the recipient. These complications plus associated cost has led to the development of a concept called "patient blood management," which recognizes that allogeneic transfusion may be necessary; however, all effort should be expended at minimizing its need. Central to reducing or eliminating the need for allogeneic transfusion is the process called "blood salvage." This process involves collection of shed surgical blood, its washing and filtering, and its readministration. This process can take place in the intraoperative or postoperative period. This article describes the technology, how it works, and how to maximize the utility of the system.

摘要

同种异体输血,或输注血库保存的血液,与受血者的一系列并发症有关。这些并发症以及相关的成本导致了“患者血液管理”概念的发展,该概念认识到同种异体输血可能是必要的;然而,应尽一切努力尽量减少其需求。减少或消除异体输血需求的核心是所谓的“血液回收”过程。该过程涉及收集手术失血、清洗和过滤以及重新输注。该过程可以在手术期间或手术后进行。本文介绍了该技术、其工作原理以及如何最大限度地利用该系统。

相似文献

1
Intraoperative blood recovery.术中血液回收。
ASAIO J. 2013 Jan-Feb;59(1):11-7. doi: 10.1097/MAT.0b013e31827b5187.
2
Intraoperative cell salvage in obstetrics: is it a real therapeutic option?产科手术中回收式自体输血:它是一种真正的治疗选择吗?
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How do I perform cell salvage in obstetrics?如何在产科进行细胞回收?
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Blood salvage and cancer surgery: a meta-analysis of available studies.血液回收与癌症手术:可用研究的荟萃分析。
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Economic evaluation of cell salvage in pediatric surgery.小儿外科中自体血回输的经济学评估。
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Transfusion of intra-operative autologous whole blood: influence on complement activation and interleukin formation.术中自体全血回输:对补体激活和白细胞介素形成的影响。
Vox Sang. 2011 Feb;100(2):239-46. doi: 10.1111/j.1423-0410.2010.01377.x. Epub 2010 Nov 30.
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Should intraoperative cell-salvaged blood be used in patients with suspected or known malignancy?在疑似或已知恶性肿瘤的患者中,是否应该使用术中细胞回收血?
Can J Anaesth. 2012 Nov;59(11):1058-70. doi: 10.1007/s12630-012-9781-x. Epub 2012 Sep 21.
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Cell Salvage in Obstetrics.产科中的细胞回收。
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The introduction of intra-operative cell salvage in obstetric clinical practice: a review of the available evidence.将术中细胞回收技术引入产科临床实践:对现有证据的回顾。
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[Post-operative retransfusion and intra-operative autotransfusion systems in total knee arthroplasty. A comparison of their efficacy].[全膝关节置换术中术后再输血和术中自体输血系统。它们的疗效比较]
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Erythrocytes and Platelets Autotransfusion in High Hemorrhagic Risk Cardiac Surgery: A Single-Center Pilot Analysis of the Multicentric SEPIA Registry.高出血风险心脏手术中的红细胞和血小板自体输血:多中心SEPIA注册研究的单中心初步分析
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Patient Blood Management in Pregnancy.妊娠期患者血液管理
Transfus Med Hemother. 2023 Jan 6;50(3):245-255. doi: 10.1159/000528390. eCollection 2023 Jun.
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Use of Autotransfusion following Percutaneous Thrombectomy for Cardiogenic Shock Due to Pulmonary Embolism in a Single Session-A Case Report.经皮血栓切除术治疗肺栓塞致心源性休克单次治疗中自体输血的应用——病例报告
Diagnostics (Basel). 2023 Apr 11;13(8):1392. doi: 10.3390/diagnostics13081392.
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Should Cell Salvage Be Used in Liver Resection and Transplantation? A Systematic Review and Meta-analysis.细胞回收在肝切除和肝移植中是否应该使用?系统评价和荟萃分析。
Ann Surg. 2023 Mar 1;277(3):456-468. doi: 10.1097/SLA.0000000000005612. Epub 2022 Jul 21.
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The importance of autologous blood transfusion in lung transplantation and cardiovascular surgeries.自体输血在肺移植和心血管手术中的重要性。
Turk Gogus Kalp Damar Cerrahisi Derg. 2021 Jul 26;29(3):354-359. doi: 10.5606/tgkdc.dergisi.2021.19960. eCollection 2021 Jul.
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[Cell salvage : Scientific evidence, clinical practice and legal framework].[细胞回收:科学证据、临床实践与法律框架]
Anaesthesist. 2019 Feb;68(2):69-82. doi: 10.1007/s00101-018-0529-z.
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Current Status of the Use of Salvaged Blood in Metastatic Spine Tumour Surgery.挽救性血液在转移性脊柱肿瘤手术中的应用现状
Neurospine. 2018 Sep;15(3):206-215. doi: 10.14245/ns.1836140.070. Epub 2018 Aug 3.
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Management of the Jehovah's Witness in Obstetrics and Gynecology: A Comprehensive Medical, Ethical, and Legal Approach.妇产科中耶和华见证人的管理:综合医学、伦理和法律方法
Obstet Gynecol Surv. 2016 Aug;71(8):488-500. doi: 10.1097/OGX.0000000000000343.
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