Kretschmer V
Abteilung für Transfusionsmedizin und Gerinnungsphysiologie, Universitäts-Klinikum Marburg.
Klin Wochenschr. 1988;66 Suppl 15:23-8.
Because of the risks and side reactions of homologous blood transfusion autologous blood donation/transfusion is always indicated when it is practicable. Appropriate performance has to be guaranteed. By adequate training of the responsible physicians drawing and storage of autologous blood as whole blood should be general possible. However, separation into buffy coat poor red cell concentrates and fresh frozen plasma (FFP) has clear advantages. Therefore the cooperation with a blood bank or a transfusion service should be intended to which production of blood components is restricted. There is an indication for autologous blood donation in all patients who plan to undergo an elective operation being cardially compensated without "hematogenous" infection and with at least 12 g/dl hemoglobin. The aptitude examination generally may be confined on history, physical examination including blood pressure and blood counting. In a preoperative interval of 2 to 28 days it is possible to reserve 1 to 4 units of whole blood or the same number of red cell concentrates and FFP when the patient has normal haematopoiesis. The greatest problems concern the organization. They are easily to be solved by adequate information of all persons involved and close cooperation between the various physicians sending the patient to the hospital, taking care of him in the clinic and drawing the autologous blood.
由于同种异体输血存在风险和副作用，自体献血/输血在可行时总是首选。必须保证适当的操作。通过对负责医生进行充分培训，采集和储存全血形式的自体血通常是可行的。然而，分离成少白细胞红细胞浓缩物和新鲜冰冻血浆（FFP）有明显优势。因此，应与仅进行血液成分制备的血库或输血服务机构合作。所有计划接受择期手术、心功能代偿良好、无“血源性”感染且血红蛋白至少为12 g/dl的患者都有自体献血指征。能力检查一般可限于病史、包括血压和血细胞计数的体格检查。在术前2至28天的间隔期内，当患者造血功能正常时，可以储备1至4单位全血或相同数量的红细胞浓缩物和FFP。最大的问题在于组织协调。通过让所有相关人员充分了解情况以及将患者送往医院、在诊所照顾患者和采集自体血的各位医生之间密切合作，这些问题很容易得到解决。
