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[急诊手术中创伤性血腹的术中自体输血]

[Intraoperative autotransfusion of traumatic hemoperitoneum in emergency surgery].

作者信息

Adhoute B G, Ayoub J, Reymondon L, Gauthier Y

机构信息

Service de Chirurgie Viscérale et Vasculaire, Centre Hospitalier Intercommunal de Fréjus-Saint Raphael.

出版信息

J Chir (Paris). 1988 Feb;125(2):92-6.

PMID:3366820
Abstract

The système à lavage globulaire was used for intraoperative auto-transfusion of adult patients with traumatic hemoperitoneum. This method provides a rapid supply of blood of large amount and of quality superior to that supplied by a blood-bank: a massive autologous transfusion carries less risk of complications than a homologous transfusion. Although this procedure is without risk to patients it is essential to comply with its contraindications (rupture of a hollow organ for the septic risk and existence of a neoplasm for the dissemination risk) and also its precautions in use, mainly the combined use of frozen fresh plasma beyond a certain autotransfused quantity of blood (about 1,200 cc). This latter problem of supplementary supply of coagulation factor is identical to that raised by massive homologous transfusion.

摘要

球形洗涤系统用于外伤性血腹成年患者的术中自体输血。该方法能快速提供大量且质量优于血库所提供血液的血液:大量自体输血比异体输血引发并发症的风险更低。尽管该 procedure 对患者没有风险,但必须遵守其禁忌症(为避免感染风险有中空器官破裂,为避免播散风险有肿瘤存在)以及使用时的注意事项,主要是在自体输血超过一定量血液(约1200毫升)后联合使用冰冻新鲜血浆。凝血因子补充供应的后一个问题与大量异体输血引发的问题相同。

注

原文中“système à lavage globulaire”和“procedure”未明确中文释义,可根据具体医学术语准确翻译,这里保留原文是为了符合不添加其他解释说明的要求。

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J Chir (Paris). 1988 Feb;125(2):92-6.
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