Departments of Anesthesiology and Bioengineering, University of Pittsburgh, The McGowan Institute for Regenerative Medicine, Pittsburgh, Pennsylvania, USA.
ASAIO J. 2013 Jan-Feb;59(1):11-7. doi: 10.1097/MAT.0b013e31827b5187.
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.
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。