Gaillard D, Robinault J, Bical O, Vanetti A
Service de Chirurgie Thoracique et Cardiovasculaire, Hôpital Saint-Joseph, Paris.
Ann Chir. 1990;44(2):110-4.
The authors report their experience since 1979 in the utilization of a system for blood salvaging in cardiac surgery. An initial comparative study showed that the patient group in which blood salvaging was used, received only 0.8 unit of red cells per patient and per hospitalisation and 50% of patients required no transfusion. In the patients receiving ATS, postoperative bleeding was significantly decreased. To confirm the advantages of the technique, a group of 200 patients was studied, consisting of 28 children and 172 adults. Hemodilution was difficult to perform in children weighing less than 15 kg. Nevertheless, ATS allowed for a significant reduction in the number of red cell units transfused. In the adult group, homologous blood consumption was 0.3 unit per patient and per hospitalization. 83% of the patients received no red cells, and 93% had no need for FFP. This reduction in homologous blood transfusion ensures a reduction in the transfusional risk. An improvement in these results will be obtained by a better organization of preoperative ATS and of the retrieval of postoperative blood.
作者报告了他们自1979年以来在心脏手术中使用血液回收系统的经验。最初的一项比较研究表明，使用血液回收的患者组，每位患者每次住院仅接受0.8单位的红细胞，且50%的患者无需输血。在接受自动血液回收（ATS）的患者中，术后出血明显减少。为了证实该技术的优势，对一组200例患者进行了研究，其中包括28名儿童和172名成人。体重小于15kg的儿童很难进行血液稀释。尽管如此，ATS仍能显著减少红细胞输注单位数量。在成人组中，每位患者每次住院的异体血使用量为0.3单位。83%的患者未接受红细胞输注，93%的患者不需要新鲜冰冻血浆（FFP）。异体输血的减少确保了输血风险的降低。通过更好地组织术前ATS和术后血液回收，这些结果将得到改善。
