Luboldt W, Helmig L, Satter P, Reidemeister J C
Thoraxchir Vask Chir. 1975 Dec;23(6):546-51. doi: 10.1055/s-0028-1097026.
Children, young people and women at the age of possible maternity form the majority of patients operated by extracorporal circulation. A longterm planning of these operations should also have donor in call, who are compatible with the patients' Rh groups and Kell antigens. Having practiced such a selection of donors we succeeded in reducing the formation of immune antibodies. 6 out of 330 patients had antibodies, but 4 had been sensibilized before operation. In the case of the other 2 it would not be excluded that they might have been immunized a long time ago. We emphasize the importance of hemodilution, strict indication of every postoperative therapy with red cells and the autologous transfusion.
儿童、年轻人以及育龄期女性构成了体外循环手术患者的大多数。这些手术的长期规划还应随时准备好与患者Rh血型和凯尔抗原相匹配的供血者。通过实施这样的供血者选择,我们成功减少了免疫抗体的形成。330例患者中有6例产生了抗体,但其中4例在手术前就已致敏。对于另外2例,不能排除他们可能在很久以前就已被免疫。我们强调血液稀释、严格掌握术后每一次红细胞治疗的适应症以及自体输血的重要性。