Mortelmans Y, Van Aken H
Abteilung für Transfusionsmedizin und Gerinnungsphysiologie, Philipps-Universität Marburg.
Acta Anaesthesiol Belg. 1994;45(2):31-40.
Increasing fear of transfusion related HIV infection, due to recent problems in West European countries, could result in an exaggerated confidence in autologous transfusion techniques. The author, being an anesthesiologist working in a blood bank since one year, tries to put forward a balanced opinion. After a short historical overview, the three main groups of blood salvage techniques are presented: intraoperative blood salvage without and with cell washing as well as postoperative salvage. For each group the following items are discussed: careful technique, quality of the autologous blood, indications, side effects, limitations, efficiency and cost. It is demonstrated that blood salvaging is not the first choice in a global blood sparing and safety program. Some sort of routine quality control should be instituted and if necessary (the safest possible) homologous blood should be preferred. Finally, a practical proposal for elective surgery is roughly made, stressing the life saving potential of blood salvaging in emergency situations.
由于西欧国家近期出现的问题，人们对输血相关艾滋病毒感染的恐惧日益增加，这可能导致对自体输血技术过度信任。作者作为一名在血库工作了一年的麻醉医生，试图提出一种平衡的观点。在简短的历史回顾之后，介绍了三种主要的血液回收技术组：术中不进行细胞洗涤和进行细胞洗涤的血液回收以及术后回收。针对每组技术，讨论了以下项目：操作技术、自体血液质量、适应症、副作用、局限性、效率和成本。结果表明，在全球血液节约和安全计划中，血液回收并非首选。应建立某种常规质量控制，如有必要（尽可能安全），应优先选择同源血液。最后，针对择期手术大致提出了一项实用建议，强调了在紧急情况下血液回收拯救生命的潜力。
