Brinquin L, Bonsignour J P, Dorne R, Legulluche Y, Le Bever H, Trannoy P, Rigaud A, Welfringer P, Pharaboz C
Ann Fr Anesth Reanim. 1986;5(3):257-9. doi: 10.1016/s0750-7658(86)80153-8.
The surgical treatment of juvenile naso-pharyngeal angiofibroma involved a potential haemorrhagic risk: the average intra-operative blood loss was estimated at between 1,300 and 2,800 ml in many reports. Two cases are reported in which haemodilution and autologous blood transfusion were used. The method consisted in pre-operative repeated phlebotomies ("leap-frog") and normovolaemic acute haemodilution; thus, 1,700 ml of autologous blood was collected in the first case, and 2,300 ml in the second one. Autotransfusion was carried out and no homologous blood transfusion was used in the peri-operative period. The use of this method, although compelling, had many advantages (financial saving, suppression of adverse reactions with homologous transfusion, transfusion of fresh blood, reduction of postoperative oedema).
许多报告显示术中平均失血量估计在1300至2800毫升之间。本文报告了两例采用血液稀释和自体输血的病例。该方法包括术前反复静脉放血（“蛙跳式”）和正常血容量急性血液稀释；因此，第一例收集了1700毫升自体血，第二例收集了2300毫升。进行了自体输血，围手术期未使用异体输血。该方法的应用虽然有强制性，但有许多优点（节省费用、抑制异体输血的不良反应、输注新鲜血液、减轻术后水肿）。
