Haustein B, Helbig W
Z Gesamte Inn Med. 1978 May 1;33(9):289-92.
The substitution of blood and erythrocytes, respectively, has to be performed as an aimed supportive haemotherapy according to measure. Therefore full blood is indicated only in loss, otherwise only concentrates of erythrocytes may be transfused, in order to exclude side-effects as a potential danger. The latter should above all produced buffy-coat-free. Washed preparations of erythrocytes should be used only in such a case, when there are present clear clinical demands, such as transfusion reactions which can otherwise not be removed, and which for their part limit the success of the transfusion. The practically plasma-free concentrates of erythrocytes which are extremely poor in alloantigens and preserved at deep temperature should at present be used for reasons of capacity only in persons who are potentially to be transfused many times, above all in recipients of grafts.
血液和红细胞的替代必须根据具体情况作为有针对性的支持性血液疗法来进行。因此，全血仅适用于失血情况，否则仅可输注红细胞浓缩物，以排除作为潜在危险的副作用。后者首先应无白细胞层。仅在存在明确的临床需求时，如输血反应否则无法消除且会限制输血成功的情况下，才应使用洗涤过的红细胞制剂。目前，由于容量原因，几乎无血浆且同种异体抗原极少并在低温下保存的红细胞浓缩物仅应在可能多次输血的人群中使用，尤其是移植受者。
