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小儿单纯低温下心内直视手术的术中及术后自体输血

Intra- and postoperative autotransfusion in open heart surgery under simple hypothermia in children.

作者信息

Matsumoto K, Tomita M, Koga Y, Shibata K, Baba H, Uchida N, Iwamoto I

出版信息

Jpn J Surg. 1980 Mar;10(1):39-47. doi: 10.1007/BF02468645.

DOI:10.1007/BF02468645
PMID:7373950
Abstract

A new autotransfusion unit was developed by the authors and the favorable results of 21 operations of open heart surgery under simple hypothermia were described. The patients were all children with simple congenital heart diseases. The amounts of autotransfused blood ranged from 2.8 to 15.5 ml/kg. Intraoperative autotransfusion proved to be an effective means of minimizing blood loss during surgery (range 3.2 to 12.8 ml/kg) and performing open heart surgery without donor blood transfusion. Postoperative autotransfusion (range 0 to 14.3 ml/kg) served as a supplementary means of avoiding homologous blood transfusion. Among the 21 autotransfused patients, there were no complications, while two patients developed hepatitis out of 19 patients who received homologous blood in the control group.

摘要

作者研发了一种新型自体输血装置,并描述了21例在单纯低温下进行心脏直视手术的良好结果。患者均为患有单纯先天性心脏病的儿童。自体输血的量为2.8至15.5毫升/千克。术中自体输血被证明是减少手术中失血(范围为3.2至12.8毫升/千克)以及在不输入供血者血液的情况下进行心脏直视手术的有效手段。术后自体输血(范围为0至14.3毫升/千克)作为避免输入同源血液的补充手段。在21例接受自体输血的患者中,未出现并发症,而在对照组19例接受同源输血的患者中,有2例发生了肝炎。

相似文献

1
Intra- and postoperative autotransfusion in open heart surgery under simple hypothermia in children.小儿单纯低温下心内直视手术的术中及术后自体输血
Jpn J Surg. 1980 Mar;10(1):39-47. doi: 10.1007/BF02468645.
2
[Intraoperative autotransfusion in open heart surgery with simple deep hypothermia - a clinical assessment (author's transl)].单纯深低温下心内直视手术中的术中自体输血——临床评估(作者译)
Kyobu Geka. 1981 Oct;34(10):789-94.
3
[Intraoperative and postoperative immediate autotransfusion in open heart surgery under profound hypothermia without pump-oxygenator--development of an immediate autotransfusion system and its clinical applications (author's transl)].[在无体外循环机的深度低温下心内直视手术中的术中及术后即刻自体输血——即刻自体输血系统的研制及其临床应用(作者译)]
Kyobu Geka. 1978;31(4):270-6.
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[Open heart surgery without the use of homologous blood in infants and young children: effectiveness of the intraoperative autologous blood donation from arterial monitoring line].婴幼儿非同源血心脏直视手术:动脉监测管路术中自体血回输的有效性
Kyobu Geka. 1999 Jun;52(6):438-41; discussion 441-4.
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[A comparison of autologous transfusion procedures in hip surgery].[髋关节手术中自体输血程序的比较]
Anaesthesist. 1991 Apr;40(4):205-13.
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[Mechanical autologous transfusion in orthopedic surgery in children. Is the use of mechanical autologous transfusion possible even in pediatric orthopedic surgical procedures?].[儿童骨科手术中的机械自体输血。即使在小儿骨科手术中,机械自体输血是否可行?]
Anaesthesist. 1995 Jul;44(7):501-7. doi: 10.1007/s001010050183.
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Autotransfusion following open-heart surgery.心脏直视手术后的自体输血
Ann Thorac Surg. 1978 Dec;26(6):559-62. doi: 10.1016/s0003-4975(10)62942-6.
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Intraoperative cell salvage in infants undergoing elective cardiac surgery: a prospective trial.择期心脏手术患儿的术中自体血回输:一项前瞻性试验。
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A red cell preservation strategy reduces postoperative transfusions in pediatric heart surgery patients.一种红细胞保存策略可减少小儿心脏手术患者术后输血。
Paediatr Anaesth. 2018 May;28(5):450-457. doi: 10.1111/pan.13368. Epub 2018 Mar 25.
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[Open heart surgery without homologous blood transfusion in small children of body weight less than 20 kg].体重小于20公斤小儿的无同源输血心脏直视手术
Nihon Kyobu Geka Gakkai Zasshi. 1992 Feb;40(2):235-41.

引用本文的文献

1
Intraoperative autotransfusion. Experience in 725 consecutive cases.术中自体输血。725例连续病例的经验。
Ann Surg. 1983 May;197(5):536-41. doi: 10.1097/00000658-198305000-00006.

本文引用的文献

1
The renal excretion of hemoglobin: regulatory mechanisms and the differential excretion of free and protein-bound hemoglobin.血红蛋白的肾脏排泄:调节机制以及游离血红蛋白与蛋白结合血红蛋白的差异排泄
J Clin Invest. 1959 Apr;38(4):652-8. doi: 10.1172/JCI103843.
2
Autologous blood transfusion in thoracic and cardiovascular surgery.胸心血管外科中的自体输血
Surgery. 1967 Oct;62(4):814-8.
3
Intraoperative autotransfusion. A preliminary report and new method.
Am J Surg. 1966 Dec;112(6):874-8. doi: 10.1016/0002-9610(66)90142-5.
4
Early clinical experience with a disposable unit for the intraoperative salvage and reinfusion of blood loss (intraoperative autotransfusion).一种用于术中失血抢救和回输(术中自体输血)的一次性装置的早期临床经验。
Am J Surg. 1970 Dec;120(6):718-22. doi: 10.1016/s0002-9610(70)90066-8.
5
Use of a disposable autotransfusion unit under varying conditions of contamination. Preliminary report.一次性自体输血装置在不同污染条件下的使用。初步报告。
Am J Surg. 1970 Sep;120(3):351-4.
6
Filtration of the microaggregates in stored blood.储存血液中微聚体的过滤
Transfusion. 1972 Jul-Aug;12(4):245-50. doi: 10.1111/j.1537-2995.1972.tb00042.x.
7
Atraumatic aspiration of whole blood for intraoperative autotransfusion.用于术中自体输血的全血无创伤性抽吸
Am J Surg. 1972 May;123(5):510-4. doi: 10.1016/0002-9610(72)90211-5.
8
Inhalation anesthesia for simple deep hypothermia induced by surface cooling.表面冷却诱导单纯性深度低温的吸入麻醉。
Med J Osaka Univ. 1969 Sep;20(1):29-79.
9
Pulmonary effects of autotransfused blood. A comparison of fresh autologous and stored blood with blood retrieved from the pleural cavity in an in situ lung perfusion model.自体输血的肺部影响。在原位肺灌注模型中,新鲜自体血和储存血与从胸腔回收的血液的比较。
Am J Surg. 1973 Jun;125(6):696-702. doi: 10.1016/0002-9610(73)90167-0.
10
Fresh autologous blood transfusions with extracorporeal circulation.伴有体外循环的新鲜自体输血。
Ann Surg. 1973 Jun;177(6):811-7. doi: 10.1097/00000658-197306000-00022.