Brewster D C, Ambrosino J J, Darling R C, Davison J K, Warnock D F, May A R, Abbott W M
Am J Surg. 1979 Apr;137(4):507-13. doi: 10.1016/0002-9610(79)90122-3.
The use of intraoperative autotransfusion provides a safe and cost-effective means of salvaging operative blood loss and reducing or eliminating the use of stored homologous bank blood with its inherent difficulties and risks. The risk of disease transmission or various reactions is minimized. Autotransfusion provides a readily available, more physiologic, and at times life-saving source of blood for patients with rare blood types or patients in whom time does not permit adequate cross-matching. This technique is acceptable to most sects of Jehovah's Witnesses, who normally refuse homologous blood. Our experience during the past six years with autotransfusion in major vascular surgery reveals a mean slavage equivalent to five units of blood loss, and avoidance of using any bank blood in almost half of elective patients. No significant problems occurred due to hemolysis, coagulation abnormalities, or particulate/air emboli, nor any morbidity or mortality specifically related to autotransfusion. We conclude that wider and more frequent use of autotransfusion technics is appropriate.
术中自体输血是一种安全且经济高效的方法，可挽救手术失血，减少或消除库存异体血的使用，而异体血存在固有的困难和风险。疾病传播或各种反应的风险降至最低。自体输血为稀有血型患者或时间不允许进行充分交叉配血的患者提供了随时可用、更符合生理且有时能挽救生命的血液来源。这项技术为大多数耶和华见证人教派所接受，他们通常拒绝使用异体血。我们在过去六年中对大血管手术中自体输血的经验表明，平均回收量相当于五单位失血量，并且在近一半的择期患者中避免使用任何库存血。未因溶血、凝血异常或微粒/空气栓塞出现重大问题，也没有与自体输血直接相关的任何发病率或死亡率。我们得出结论，更广泛、更频繁地使用自体输血技术是合适的。
