Oshitomi T, Tei I, Taniyasu N, Bonkohara Y, Nemoto S, Nishida H, Endo M, Koyanagi H
Department of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's Medical College.
Kyobu Geka. 1994 Jun;47(6):451-4.
Autotransfusion of shed mediastinal blood is expected to be adopted as a technique to reduce transfusion thus preventing various complications such as hepatitis, AIDS, and GVHD. We report the usefulness and problems of a new device-Solcotrans Plus, which only requires connection to wall suction. This device consists of three parts: suction, reservoir bag, and filter for autoinfusion. After setting the suction and reservoir bag primed with anticoagulant, ACD or heparin, and connecting the unit to a wall suction, we performed autotransfusion of shed blood through the filtration component in ICU after operation. Postoperative hematological and biochemical examinations revealed no complications or adverse effects of autotransfusion. This device is available, simple to handle, and is useful for returning shed blood. We believe that this device will be effective for non-blood open heart surgery or reduction of transfusion.
预计采用纵隔引流血自体输血技术可减少输血，从而预防肝炎、艾滋病和移植物抗宿主病等各种并发症。我们报告了一种新型装置——索科输血器升级版（Solcotrans Plus）的实用性和问题，该装置仅需连接墙壁吸引器。此装置由三部分组成：吸引器、储血袋和自动输血过滤器。在用抗凝剂（ACD或肝素）对吸引器和储血袋进行预充并将装置连接到墙壁吸引器后，我们在术后通过重症监护病房（ICU）的过滤部件对引流血进行了自体输血。术后血液学和生化检查未发现自体输血的并发症或不良反应。该装置容易获得，操作简单，对于回输引流血很有用。我们认为该装置对非体外循环心脏手术或减少输血将是有效的。
