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体外循环术后血小板功能紊乱所致出血并发症的治疗(作者译)

[The treatment of haemorrhagic complications due to disturbance of platelet function after operations with extracorporal circulation (author's transl)].

作者信息

Harke H, Rahman S, Gennrich M

出版信息

Prakt Anaesth. 1979 Jun;14(3):250-6.

PMID:461296
Abstract

The preoperative selective blood cell separation followed by the postoperative platelet autoransfusion could prevent the exhaustion of platelet function by operations with extracorporal circulation. The postoperative blood loss could be reduced by about 57%. This method can be recommended specially in cases of increased platelet traumatization after long time perfusion. Partial disturbances of platelet function after operations with ECC can also be favourably influenced by infusion of homologous phospholipid (Fibraccel). The postoperative blood loss could be reduced by about one third. This method is beneficial in open heart surgery with short perfusion times due to its little technical expenses.

摘要

术前选择性血细胞分离,术后进行血小板自身输注,可防止体外循环手术导致的血小板功能耗竭。术后失血量可减少约57%。该方法特别适用于长时间灌注后血小板损伤增加的情况。体外循环手术后血小板功能的部分紊乱也可通过输注同源磷脂(Fibraccel)得到有利影响。术后失血量可减少约三分之一。由于技术费用低,该方法在灌注时间短的心脏直视手术中有益。

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1
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Prakt Anaesth. 1979 Jun;14(3):250-6.
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