Mempel W
Medizinische Klinik III, Klinikum Grosshadern, Ludwig-Maximilians-Universität München.
Zentralbl Chir. 1993;118(9):563-6.
Blood transfusion became the subject of major interest because of a possible HIV-infection. It should not been forgotten, however, that HIV-infection is not the only of a wide variety of risks. The leading complication is still the hemolytic transfusion reaction, followed by transmission of hepatitis or other viral or bacterial germs. Less striking side effects, like an immunomodulation or a graft-versus-host reaction, should also been included into the therapeutical considerations. One possibility to avoid risks, is the use of autologous blood. The most important requirement, however, remains to operate with a minimal blood loss.
由于可能感染艾滋病毒,输血成为人们主要关注的问题。然而,不应忘记,艾滋病毒感染并非众多风险中的唯一风险。主要并发症仍然是溶血性输血反应,其次是肝炎或其他病毒或细菌的传播。一些不太明显的副作用,如免疫调节或移植物抗宿主反应,也应纳入治疗考虑范围。避免风险的一种可能性是使用自体血。然而,最重要的要求仍然是尽量减少手术中的失血量。