Zipprich K W, Müller H, Gola H, Canzler E
Zentralbl Gynakol. 1985;107(7):403-10.
Hemotherapy performed in our clinic was investigated in patients operated on in the years 1973 and 1982. A total of 832 operations (638 gynaecological interventions and 194 cesarean sections) were used for evaluation. - Transfusion rates decreased from 72% (1973) to 13% (1982) due to systematic application of crystalloid and colloidal infusions to cases of blood loss of up to 20% of the total blood volume. The percentage of erythrocyte concentrate applied increased from 0.4% (1973) to 42% (1982), while it even reached 80% when related to the total blood transfusions of our clinic. To conclude, strict principles should be adopted in deciding for blood transfusion as well as in purposefully applying blood constituents lost. The advantageous development in the economy of surgery is outlined.
我们对1973年至1982年期间在本诊所接受手术的患者进行了血液治疗调查。共对832例手术(638例妇科手术和194例剖宫产)进行了评估。由于对失血达总血容量20%的病例系统应用晶体液和胶体液输注,输血率从1973年的72%降至1982年的13%。红细胞浓缩液的应用比例从1973年的0.4%增至1982年的42%,而在本诊所的总输血中,这一比例甚至达到了80%。总之,在决定输血以及有目的地应用丢失的血液成分时应采用严格的原则。概述了手术经济性方面的有利发展。