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[有无自体输血情况下血管外科手术的主要干预措施。凝血及血流动力学参数比较]

[Major interventions in vascular surgery with and without autotransfusion. Comparison of coagulation and hemodynamic parameters].

作者信息

Bianciardi P, Bortolani E M, Vandone P L, Bordoni M G, Giordanengo F, Marenghi M C, Rignano A, Giorgetti P L

机构信息

Istituto di Chirurgia Generale e Cardiovascolare, Università degli Studi di Milano.

出版信息

Minerva Cardioangiol. 1993 Jan-Feb;41(1-2):27-35.

PMID:8451027
Abstract

Twenty out of 32 patients undergoing major vascular surgery received autologous blood transfusion and hemostatic and hematological parameters were evaluated in both transfused and non-transfused groups. Blood and urine samples were also analysed. No acceleration of the hemostatic process was observed during either surgery or the postoperative period; free hemoglobin present in reinfusion sacks (?), even in high doses, was immediately restored to normal values in the patient's circulation. A slight effect was observed at the renal level alone. These findings confirm the good qualitative level of the procedures used to reinfuse blood lost during surgery.

摘要

32例接受大血管手术的患者中,有20例接受了自体输血,并对输血组和未输血组的止血和血液学参数进行了评估。还对血液和尿液样本进行了分析。在手术期间和术后均未观察到止血过程加速;再输注袋中存在的游离血红蛋白(?),即使是高剂量,也能在患者循环中立即恢复到正常值。仅在肾脏水平观察到轻微影响。这些发现证实了用于再输注手术中失血的程序具有良好的质量水平。

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