Strom J A, Towne J B, Quebbeman E J, Bernhard V M
Surg Gynecol Obstet. 1984 Jul;159(1):59-62.
We have used a simple adaptation of the cardiotomy suction apparatus for autotransfusion during operation for four aortocaval fistulas and two ruptured internal iliac aneurysms. This has allowed significant blood salvage and maintenance of intraoperative hemodynamic stability. We have had no intraoperative complications and have noted no renal or pulmonary compromise postoperatively. One patient had minor coagulopathy postoperatively that was corrected with fresh frozen plasma and platelet transfusion during the first 12 hours. Autotransfusion for aortocaval fistulas and ruptured internal iliac aneurysms is safe, simple, clinically beneficial and cost effective.
我们对体外循环心内吸引装置进行了简单改良，用于4例主动脉腔静脉瘘和2例髂内动脉瘤破裂手术中的自体输血。这使得大量血液得以回收，并维持了术中血流动力学稳定。我们没有出现术中并发症，术后也未发现肾脏或肺部功能受损。1例患者术后出现轻度凝血功能障碍，在术后12小时内通过输注新鲜冰冻血浆和血小板得到了纠正。主动脉腔静脉瘘和髂内动脉瘤破裂的自体输血安全、简单、具有临床益处且成本效益高。
