Laubriat-Bianchin M
Centre Départemental de Transfusion Sanguine, Annecy.
Rev Fr Transfus Hemobiol. 1990 Mar;33(2):111-20. doi: 10.1016/s1140-4639(05)80010-3.
To carry out normovolemic haemodilution in the best security conditions we elaborate a new method of preoperative haemodilution. Collection of red cell concentrates and adequate compensation are made either in the blood bank or at the patient's bed side. There are two ways of proceeding: *manual plasmapheresis technic is used for the collection of less than 450 ml packed red cells; *collection of more than 450 ml packed red cells is carried out on a PCS Haemonetics cell separator. CPD autologous red cells concentrates prepared in that way can be stored to meet the patient's need during and after the operation. The patient is identified as donor and receiver as regards laboratory analysis and computer treatment as well. Information's transmission between blood bank hospital and clinics is secured with the same document. This method enables homologues transfusion save and completes autologous transfusion in 68% cases among 106 patients. It is to be noticed that none of the 98 haemodiluted patients suffered from thrombosis.
为了在最佳安全条件下进行等容血液稀释，我们研发了一种新的术前血液稀释方法。红细胞浓缩液的采集和适当的补充可在血库或患者床边进行。有两种操作方式：*采用手动血浆置换技术采集少于450毫升的浓缩红细胞；*采用PCS血液成分分离机采集超过450毫升的浓缩红细胞。以这种方式制备的CPD自体红细胞浓缩液可储存起来，以满足患者手术期间及术后的需求。在实验室分析和计算机处理方面，患者被认定为供者和受者。血库、医院和诊所之间的信息传输通过同一份文件来确保安全。该方法能够避免同种异体输血，并在106例患者中的68%完成自体输血。需要注意的是，98例接受血液稀释的患者中无一例发生血栓形成。
