Inaba S
Blood Transfusion Service, Kyushu University Hospital.
Nihon Rinsho. 1997 Jul;55(7):1861-70.
Autologous transfusion(AT), using the patient's own blood for replacement during operation, is the most useful blood replacement method, as the blood is a perfect match for the patient. It can prevent alloimmunization and introduced viral infections completely. Predeposition, Hemodilution and Salvage are the three methods of collection. Each has already had sophisticated techniques developed for clinical application. Unfortunately, AT requires extensive man-power and is expensive. For these reasons, AT has been slow to gain popularity in the surgical field in Japan. For popularization of AT to be successful, not only must we have sufficient knowledge to implement these complicated techniques, but we must also build an AT center staffed by several specialists in each hospital.
自体输血(AT)是指在手术期间使用患者自身的血液进行替代,这是最有效的输血方法,因为该血液与患者完全匹配。它可以完全防止同种免疫和引入病毒感染。预存式、血液稀释式和回收式是三种采集方法。每种方法都已经开发出了成熟的临床应用技术。不幸的是,自体输血需要大量人力且成本高昂。由于这些原因,自体输血在日本外科领域的普及速度一直很慢。为了使自体输血成功普及,我们不仅必须具备实施这些复杂技术的足够知识,而且还必须在每家医院建立一个由多名专家组成的自体输血中心。