Dich Nielsen J O, Skoven A, Henneberg E W, Fasting H
Anaestesi- og karkirurgisk afdeling, Skive Sygehus.
Ugeskr Laeger. 1993 Mar 1;155(9):605-8.
Thirty-one patients scheduled to undergo aortic reconstruction were studied. 16 had aortic aneurysms and 15 required aortobifemoral grafts. The solcotrans unit comprises a rigid plastic container with an inner lining bag, into which blood is aspirated. When the bag is full (500 ml), the unit is inverted and blood is re-infused through a 40 micron filter. Sixty-three percent of the blood transfused per-operatively and 41% peri-operatively was given with the solcotrans unit. Only minor changes in the coagulation parameters were seen. Blood cultures from ten solcotrans units were all negative. Two patients contracted pneumonia, and one cystitis. We conclude that the solcotrans system is safe to use when two-to four units of blood are transfused. Further studies are required to define its role when multitransfusions of blood are needed.
对31例计划接受主动脉重建手术的患者进行了研究。其中16例患有主动脉瘤，15例需要进行主动脉双股动脉移植术。索科特兰斯装置由一个带有内衬袋的硬质塑料容器组成，血液被抽吸到内衬袋中。当袋子装满（500毫升）时，将装置倒置，血液通过一个40微米的过滤器重新输注。术中输注的血液中有63%以及围手术期输注的血液中有41%是使用索科特兰斯装置输注的。凝血参数仅出现轻微变化。对十个索科特兰斯装置进行的血培养结果均为阴性。两名患者发生了肺炎，一名患者发生了膀胱炎。我们得出结论，当输注两到四个单位血液时，索科特兰斯系统使用起来是安全的。当需要多次输血时，还需要进一步研究来确定其作用。
