Shehata S
Int Surg. 1983 Jan-Mar;68(1):33-5.
A randomized prospective study of 202 patients undergoing peripheral vascular surgery, with the use of autotransfusion, is presented. Hematologic and hemostatic studies were performed on 50 samples of reclaimed and bank blood. The study showed a lower hemoglobin content in autotransfused blood. At the same time it showed a higher platelet count and higher concentration of labile clotting factors. When the patient's blood was tested 24 hours post-transfusion there was no significant residual hematologic or hemostatic defect. There were 15 complications related to blood transfusion including two deaths. The author concludes that autotransfusion significantly reduces the need for bank blood and post-transfusion complications and that it is safe and easy to use.
本文介绍了一项针对202例接受外周血管手术患者使用自体输血的随机前瞻性研究。对50份回收血和库存血样本进行了血液学和止血研究。研究表明，自体输血的血液中血红蛋白含量较低。同时，其血小板计数较高，不稳定凝血因子浓度也较高。输血后24小时对患者血液进行检测时，未发现明显的残留血液学或止血缺陷。有15例与输血相关的并发症，包括2例死亡。作者得出结论，自体输血显著减少了对库存血的需求以及输血后并发症，且使用安全简便。
