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[心脏手术中自体血及其成分的捐献组织]

[The organization of the donation of autologous blood and its components in cardiac surgery].

作者信息

Shevchenko Iu L, Matveev S A, Danil'chenko V V, Chechetkin A V, Khubulava G G, Shilov V V, Lapidus A V

出版信息

Vestn Khir Im I I Grek. 1996;155(5):71-4.

PMID:9123764
Abstract

The article analyzes an experience with the organization of autodonation of blood and its components in surgical treatment of 305 patients with congenital and acquired defects and ischemic heart disease. Methods of plasmacytapheresis and cryopreservation used at the terms from 3 days to 12 months before operation allowed storage of the autologous components of blood in 41.2% of the patients having indications for autodonation. In 29.1% of the observations the autotransfusion media were reserved under the outpatient clinic conditions which resulted in shorter terms of treatment at the hospital. The number of unfavorable reactions during the donation in patients did not exceed analogous parameters in regular donors. Autohemotransfusions 3-5 times reduced the volume of transfusions of the allogenic blood components and they were completely avoided in 20.1% of the patients.

摘要

本文分析了在305例先天性和后天性缺陷及缺血性心脏病患者的外科治疗中组织自体献血及其成分的经验。术前3天至12个月期间使用的血浆单采术和冷冻保存方法,使41.2%有自体献血指征的患者能够储存自体血液成分。在29.1%的观察中,自体输血介质在门诊条件下保存,这导致住院治疗时间缩短。患者献血期间不良反应的数量不超过常规献血者的类似参数。自体输血3至5次减少了异体血液成分的输血量,20.1%的患者完全避免了异体输血。

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[Autologous blood transfusion with deep frozen stored blood in cardiac surgery (author's transl)].
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