Palin S, Diani F, Del Frate G
Clinica Ostetrica e Ginecologica, Università di Verona.
Minerva Ginecol. 1995 May;47(5):231-7.
The consequences of homologous blood transfusion have a remarkable impact on the obstetric population which mainly consists of young healthy women. The risk involved in possible post-transfusion complications is directly proportional to the number of homologous blood units that are being transfused. Autologous transfusion is riskless for the fetus' well being. The main obstetrical problem is that it is impossible to foresee to the maximum extent all cases in need of blood transfusion which might get either an excessive amount or an insufficient amount of autologous transfusion. Blood predonation is the most suitable method in the obstetrics service. Reported below are the findings concerning the autologous transfusion experience performed by the OB/GYN Department at the Hospital San Daniele del Friuli, Udine for the period 1989-1993, where a new method of autologous donation was performed on 44 pregnant women who delivered by C-section. The autologous program is considered an easy one in the OB/GYN field, without complications for the fetus' well being and also feasible for small hospitals.
同种异体输血的后果对主要由年轻健康女性组成的产科人群有显著影响。输血后可能出现的并发症风险与所输注的同种异体血单位数量成正比。自体输血对胎儿的健康没有风险。主要的产科问题是,不可能最大程度地预见到所有需要输血的情况,而这些情况可能会出现自体输血量过多或不足的问题。血液预存是产科服务中最合适的方法。以下报告的是乌迪内省圣丹尼尔·德尔·弗里乌利医院妇产科在1989 - 1993年期间进行自体输血的经验结果,在此期间,对44名剖宫产分娩的孕妇采用了一种新的自体献血方法。自体输血方案在妇产科领域被认为是一种简便的方法,对胎儿健康没有并发症,而且对小型医院也是可行的。