Tempe D, Cooper A, Khanna S K, Satsangi D K, Tomar A S, Lall N G, Gupta B K, Mishra R C, Nigam M
Department of Anaesthesia and Cardiothoracic Surgery, G.B. Pant Hospital, New Delhi.
Indian Heart J. 1994 Mar-Apr;46(2):97-100.
Blood utilization in 40 patients undergoing elective valve surgery was prospectively studied. The patients had valvular lesions of rheumatic origin with a mean age of 29.1 years and a mean preoperative hematocrit of 35.23 +/- 4.16. Blood was removed from all patients after induction of anesthesia and reinfused after bypass (mean 365.12 +/- 66.96 ml). Membrane oxygenator was used in all the patients. All discard suction was routed through a regionally heparinised collecting and processing system, and the resulting red cell concentrate was transfused. At the conclusion of bypass, all blood remaining in the pump oxygenator was also processed by cell saver and used for subsequent reinfusion. Normovolemic anemia was accepted in hemodynamically stable patients. Thirty two patients (80%) received no bank blood or blood products during their entire hospital course. A total of twelve units of whole blood was transfused into eight patients.
对40例行择期瓣膜手术的患者的血液利用情况进行了前瞻性研究。这些患者患有风湿性瓣膜病变，平均年龄29.1岁，术前平均血细胞比容为35.23±4.16。所有患者在麻醉诱导后采血，并在体外循环后回输（平均365.12±66.96毫升）。所有患者均使用膜式氧合器。所有丢弃的吸引血都通过局部肝素化的收集和处理系统，所得红细胞浓缩物进行输注。体外循环结束时，泵氧合器中剩余的所有血液也通过血液回收机进行处理，并用于后续回输。血流动力学稳定的患者接受正常血容量性贫血。32例患者（80%）在整个住院期间未接受库血或血液制品。共有12单位全血输注给了8例患者。
