Kuromaki K, Takeda S, Seki H, Kinoshita K, Maeda H, Hitomi Y
Department of Obstetrics and Gynecology, Saitama Medical Center, Saitama Medical School, Japan.
Asia Oceania J Obstet Gynaecol. 1994 Jun;20(2):155-9. doi: 10.1111/j.1447-0756.1994.tb00442.x.
The patient, who was 34 years of age, had previously had a transverse incision of the lower uterine segment cesarean section because of placenta previa. She was admitted to the hospital due to placenta previa again at 27 weeks of gestation in the current pregnancy. Ultrasound examination revealed placenta increta as well as placenta previa. In an attempt to avoid homologous blood transfusion at the time of profuse hemorrhage anticipated to occur during cesarean section, an autologous blood transfusion was planned. Fifteen hundred ml of autologous blood was collected by a leap-frog method during the 8 weeks prior to cesarean section. A cesarean hysterectomy was performed at 37 weeks of gestation because of placenta increta. Blood loss was estimated at 1,830 ml, and 1,500 ml of autologous blood was transfused. A leap-frog method of autologous blood collection for this pregnant woman with risk of massive hemorrhage was simple and beneficial, resulting in the preservation of more than 1,500 ml of autologous blood for transfusion.
该患者34岁，既往因前置胎盘行子宫下段剖宫产横切口手术。本次妊娠27周时因前置胎盘再次入院。超声检查显示胎盘植入及前置胎盘。为避免剖宫产时预计发生的大出血时输入异体血，计划进行自体输血。剖宫产术前8周采用蛙跳法采集自体血1500ml。因胎盘植入，于妊娠37周行剖宫产子宫切除术。估计失血量为1830ml，输入自体血1500ml。对于有大出血风险的该孕妇，蛙跳法自体采血简单且有益，成功保存了1500多毫升自体血用于输血。
