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[胸腹部损伤中的自体输血]

[Autologous blood transfusion in thoracic and abdominal injuries].

作者信息

Abakumov M, Lebedev N, Khvatov V, Platonova T

出版信息

Khirurgiia (Sofiia). 1989;42(6):93-9.

PMID:2634811
Abstract

Analysis of the experience with autologous blood transfusion of 6431 of blood to 570 patients who suffered thoracic and abdominal trauma showed that, when blood loss was compensated via autologous blood transfusion, lethality and number of purulent complications were lower than with the use of donor blood. Repeated examination of the hemostasis system demonstrated that massive reinfusion of blood led to the occurrence of transient disturbance (hypocoagulation) which did not require specific correction. Inference is made hat in the event of critical situations autologous blood transfusion is a permissible procedure even when hollow organs are injured. Considering the technical aspects of this problem, it appears that autologous blood transfusion is expedient both from clinical and from economical point of view.

摘要

对570例胸腹部创伤患者进行6431次自体输血的经验分析表明,通过自体输血补偿失血时,致死率和化脓性并发症的数量低于使用异体血。对止血系统的反复检查表明,大量回输血会导致短暂性紊乱(低凝)的发生,但不需要进行特殊纠正。得出的结论是,在危急情况下,即使中空器官受损,自体输血也是一种可行的方法。从这个问题的技术层面来看,自体输血从临床和经济角度都是有利的。

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