Sporn P, Mauritz W, Schindler I, Zadrobilek E, Höcker P, Piza F, Funovics J, Fritsch A
Infusionsther Klin Ernahr. 1985 Aug;12(4):187-91.
Liver transplantation often is accompanied with massive bleeding-blood losses up to 125 I have been reported. A survey of 21 transplantations describes the management for substitution of blood components. After an initial series of 18 patients including 4 cases with blood losses exceeding 100 units of blood, an attempt was made to optimize coagulation in 5 cases with NT-values below 40% by preoperative plasmapheresis. Platelet transfusion was performed in all cases with platelet values below 120 000. These measures led to a significant reduction in blood units substituted during the last 9 transplantations.
肝移植常常伴随着大量出血——据报道失血多达125单位。一项针对21例肝移植手术的调查描述了血液成分替代的管理方法。在最初的18例患者（包括4例失血超过100单位血液的病例）之后，对5例凝血酶原时间（NT）值低于40%的患者尝试通过术前血浆置换来优化凝血功能。所有血小板值低于120000的病例均进行了血小板输注。这些措施使得在最后9例肝移植手术中替代的血液单位显著减少。
