Matsumoto K, Tomita M, Koga Y, Shibata K, Baba H, Uchida N, Iwamoto I
Jpn J Surg. 1980 Mar;10(1):39-47. doi: 10.1007/BF02468645.
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.
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。