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[择期手术中的自体输血。215例初步报告]

[Autotransfusion in elective surgery. Preliminary report on 215 cases].

作者信息

Ritossa C, Astini C, Barbieri T, Ferri M, Prencipe E

出版信息

Minerva Chir. 1989 Dec 31;44(23-24):2413-20.

PMID:2628795
Abstract

Two-hundred and fifteen number of patients are presented, who underwent surgical procedures with the support of autologous blood transfusions. The latter have many advantages over traditional allogenic transfusions, such as diminished risk of infections, absence of blood compatibility problems and deep venous thrombosis prophylaxis, through a preoperative controlled state of hemodilution. We have opted for a pre-operative technique, with harvest of blood, obtained before surgery, at quantity of 350 ml each 4 to 5 days. No early, nor late complications occurred, nor any postoperative hemoglobin or hematocrit decrease. The above data, together with a relevant reduction of cost per blood unit, to encourage a wide use of autologous blood transfusion, whenever feasible.

摘要

本文介绍了215例在自体输血支持下接受外科手术的患者。与传统的异体输血相比,自体输血有许多优点,例如通过术前控制血液稀释状态,可降低感染风险、不存在血液相容性问题以及预防深静脉血栓形成。我们选择了一种术前技术,即在手术前采集血液,每4至5天采集350毫升。未发生早期或晚期并发症,术后血红蛋白或血细胞比容也未下降。上述数据,以及每单位血液成本的相关降低,鼓励在可行的情况下广泛使用自体输血。

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