Kern E, Klaue P, Homann B
Dtsch Med Wochenschr. 1977 Feb 11;102(6):188-92. doi: 10.1055/s-0028-1104863.
Only intra-operative re-infusion with a special apparatus is suitable for autotransfusion in the management of massive and unexpected haemorrhage. Haemolysis and air embolism are the only problems directly related to it. Since haemolysis does not cause clinical complications it can be ignored, while air embolism can be prevented by continuous close supervision. Clotting disorders are the combined result of the underlying disease, circulatory shock, massive homologous blood transfusion and autotransfusion. No pulmonary problems have been encountered. The Bentley ATS system has proven to be the most effective means of replacing volume in life-threatening massive bleeding. It is a safe procedure which not only helps to save large volumes of homologous blood but also the life of many patients with extreme massive haemorrhages.
仅在术中使用特殊设备进行再输注才适合在处理大量意外出血时进行自体输血。溶血和空气栓塞是与之直接相关的仅有的问题。由于溶血不会引起临床并发症，所以可以忽略不计，而空气栓塞可通过持续密切监测来预防。凝血障碍是基础疾病、循环性休克、大量同种异体输血和自体输血共同作用的结果。未遇到肺部问题。事实证明，Bentley ATS系统是在危及生命的大量出血时补充血容量的最有效手段。这是一种安全的操作方法，不仅有助于节省大量的同种异体血液，还能挽救许多发生极大量出血患者的生命。
