Warnock D F, Davison J K, Brewster D C, Darling R C, Abbott W M
Am J Surg. 1982 Jun;143(6):765-8. doi: 10.1016/0002-9610(82)90055-1.
Intraoperative autotransfusion is a technique well-suited to major vascular surgery. It is most effective when salvage and reinfusion of shed blood can be accomplished at flow rates compatible with the degree of hemorrhage encountered in both elective and emergency procedures. Appropriate equipment modifications can render commercially available autotransfusion devices safer and more effective in the management of intraoperative blood loss. The Cell Saver, a device which concentrates and washes salvaged red blood cells, is limited in its potential as an autotransfusion device because of its slow reinfusion rate. A modification was devised which expands the flow capabilities of the Cell Saver and allows rapid reinfusion of autologous whole blood. The modified blood circuit has been employed in 10 major vascular cases with favorable results, thus demonstrating its efficacy in the management of massive hemorrhage during vascular repair. Guidelines for the safe and effective use of the modified unit are stressed.
术中自体输血是一种非常适合大血管手术的技术。当在择期和急诊手术中能够以与出血程度相适应的流速完成失血的回收和回输时，该技术最为有效。适当的设备改进可以使市售的自体输血装置在处理术中失血时更安全、更有效。细胞回收仪是一种浓缩和洗涤回收红细胞的装置，由于其回输速度慢，作为自体输血装置的潜力有限。设计了一种改进方法，可扩大细胞回收仪的流量能力，并允许快速回输自体全血。改良后的血液回路已应用于10例大血管病例，效果良好，从而证明了其在血管修复过程中处理大量出血的有效性。强调了安全有效使用改良装置的指南。
