Diekamp U
Bluttransfusionsdienst am Zentralkrankenhaus St.-Jürgen-Strasse, Bremen, Deutschland.
Beitr Infusionsther Transfusionsmed. 1994;32:517-9.
Preoperative autogenous blood (PAB) deposit programs are expensive. Aside from primary costs of preparing PAB, the user incurs major secondary costs from additional preadmission visits with the surgeon and from excess production, utilization and outdating of PAB (transfer into the allogeneic blood supply is not permitted here). These costs will exceed 200 Mio DM annually, increasing with better acceptance of PAB programs. However, PAB deposits are only indicated if transfusion incidence for the intended elective procedure exceeds 30%. Below that, preoperative, isovolemic hemodilution is considered the method of choice for limiting exposure to allogeneic blood.
术前自体血（PAB）储存计划成本高昂。除了制备PAB的主要成本外，用户还需承担因额外的术前与外科医生会诊以及PAB的过量生产、使用和过期（此处不允许转入异体血供应）而产生的主要次要成本。这些成本每年将超过2亿德国马克，并随着PAB计划的接受度提高而增加。然而，只有当预期择期手术的输血发生率超过30%时，才建议进行PAB储存。低于该比例时，术前等容血液稀释被认为是限制异体血接触的首选方法。
