Solem J O, Olin C, Tengborn L, Nordin G, Lührs C, Steen S
Scand J Thorac Cardiovasc Surg. 1987;21(2):153-7. doi: 10.3109/14017438709106514.
A new autotransfusion system was evaluated postoperatively in six patients undergoing aortocoronary bypass surgery. A hollow fiber hemofilter was integrated in the system, making it possible to concentrate the shed blood. The device functioned well, 825 ml diluted mediastinal drainage blood with a hematocrit of 23 was concentrated to a volume of 475 ml with a hematocrit of 36 and retransfused. Proteins were preserved, thus albumin concentration increased from 23 to 37 g/l in the autotransfusate. No negative side effects were registered after autotransfusion. A thorough coagulation study after retransfusion did not reveal any sign of activation of the coagulation cascade, nor were there any signs of an increased fibrinolysis.
一种新型自体输血系统在6例接受主动脉冠状动脉搭桥手术的患者术后进行了评估。该系统集成了中空纤维血液滤过器,使浓缩引流血成为可能。该装置运行良好,825毫升血细胞比容为23%的稀释纵隔引流血被浓缩至475毫升,血细胞比容为36%后回输。蛋白质得以保留,因此自体回输血中白蛋白浓度从23克/升增加到37克/升。自体输血后未出现负面副作用。回输后进行的全面凝血研究未发现凝血级联激活的任何迹象,也没有纤维蛋白溶解增加的迹象。