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心血管手术期间从手术野回收的自体输血红细胞的存活情况。

Survival of autotransfused red blood cells recovered from the surgical field during cardiovascular operations.

作者信息

Ansell J, Parrilla N, King M, Fournier L, Szymanski I, Doherty P, Vander Salm T, Cutler B

出版信息

J Thorac Cardiovasc Surg. 1982 Sep;84(3):387-91.

PMID:6981035
Abstract

The survival of autologous red blood cells (RBCs) collected during operation from the surgical field and processed immediately by the Haemonetics Cell Saver was compared to the survival of autologous nonprocessed RBCs obtained by venipuncture in nine patients undergoing reconstructive vascular operations and four patients undergoing coronary artery bypass. A double isotope technique (Cr-51 and In-111) was used to determine the survival of the different cell populations. Seven patients undergoing coronary artery bypass served as controls to characterize the isotopes by labeling the same population of RBCs with each radionuclide. Comparison of the data in all groups failed to show any significant difference in either the immediate or long-term survival between autotransfused (Cell Saver--processed) blood and nonprocessed RBCs. This study indicates that shed blood collected and processed at operation with the Haemonetics Cell Saver can be autotransfused and that the in vivo survival of these cells is not significantly different from the survival of nonprocessed blood.

摘要

对9例行血管重建手术和4例行冠状动脉搭桥手术的患者,比较术中从手术野收集并立即由血液回收机处理的自体红细胞(RBC)的存活情况,与通过静脉穿刺获得的未经处理的自体RBC的存活情况。采用双同位素技术(铬-51和铟-111)来确定不同细胞群体的存活情况。7例行冠状动脉搭桥手术的患者作为对照,通过用每种放射性核素标记同一群体的RBC来表征同位素。对所有组的数据进行比较后发现,自体输血(血液回收机处理)的血液和未经处理的RBC在即时或长期存活方面均无显著差异。本研究表明,术中用血液回收机收集和处理的 shed blood 可进行自体输血,且这些细胞在体内的存活情况与未经处理的血液的存活情况无显著差异。

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1
Survival of autotransfused red blood cells recovered from the surgical field during cardiovascular operations.心血管手术期间从手术野回收的自体输血红细胞的存活情况。
J Thorac Cardiovasc Surg. 1982 Sep;84(3):387-91.
2
Effects of cell saver autologous blood transfusion on blood loss and homologous blood transfusion requirements in patients undergoing cardiac surgery on- versus off-cardiopulmonary bypass: a randomised trial.自体血液回收对体外循环和非体外循环心脏手术患者失血及异体输血需求的影响:一项随机试验
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24-hour survival of autotransfused red cells in elective aortic surgery: a comparison of two intraoperative autotransfusion systems.择期主动脉手术中自体输血红细胞的24小时存活率:两种术中自体输血系统的比较
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Efficacy of intraoperative blood salvage during coronary artery bypass grafting.冠状动脉搭桥术中自体血液回收的疗效
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Autotransfused shed mediastinal blood has normal erythrocyte survival.自体回输的纵隔引流血红细胞存活时间正常。
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Infusion of autologous platelet rich plasma does not reduce blood loss and product use after coronary artery bypass. A prospective, randomized, blinded study.输注自体富血小板血浆并不能减少冠状动脉搭桥术后的失血量和制品使用量。一项前瞻性、随机、双盲研究。
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[Haemoseparation in heart surgery].[心脏手术中的血液分离]
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Bacteriologic and endotoxin analysis of salvaged blood used in autologous transfusions during cardiac operations.心脏手术中自体输血所用回收血的细菌学及内毒素分析。
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引用本文的文献

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Exploring Myths of Perioperative Autologous Red Blood Cell Salvage.探索围手术期自体红细胞回收的误区。
Anesthesiology. 2025 Sep 15. doi: 10.1097/ALN.0000000000005586.
2
The use of intraoperative cell salvage in urologic oncology.术中细胞回收技术在泌尿外科肿瘤学中的应用。
Rev Urol. 2017;19(2):89-96. doi: 10.3909/riu0721.
3
Washing and filtering of cell-salvaged blood - does it make autotransfusion safer?回收式自体输血血液的洗涤与过滤——这会使自体输血更安全吗?
Transfus Altern Transfus Med. 2012 Dec 1;12(3-4):78-87. doi: 10.1111/j.1778-428X.2012.01155.x.
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In vivo survival of red blood cells processed by a bubble or membrane oxygenator during cardiopulmonary bypass surgery.在体外循环手术期间,经气泡式或膜式氧合器处理的红细胞的体内存活情况。
Tex Heart Inst J. 1986 Jun;13(2):247-51.
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Intraoperative autologous blood transfusion for hemoperitoneum resulting from ectopic pregnancy or ovarian bleeding during laparoscopic surgery.腹腔镜手术中因异位妊娠或卵巢出血导致腹腔积血的术中自体输血。
JSLS. 2003 Apr-Jun;7(2):97-100.
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Blood conservation in cardiac surgery. Preliminary results with an institutional commitment.心脏手术中的血液保护。机构承诺下的初步结果。
Ann Surg. 1989 Jun;209(6):736-42. doi: 10.1097/00000658-198906000-00011.