Glover J L, Smith R, Yaw P, Radigan L R, Plawecki R, Link W
Surgery. 1976 Oct;80(4):474-9.
Although interest in intraoperative autotransfusion increased when commercial equipment became available, this technique still is utilized rarely in most hospitals. Our experience began with sporadic use in 1972 and has evolved to regular use at least ten times a month. The machine is operated by a technician, and we heparinize the autotransfusion system (ATS) reservoir. Our series includes 47 patients who had elective vascular operations and 141 who had emergency operations, usually for trauma. In the latter group, seven patients who were autotransfused with blood contaminated by intestinal contents survived near fatal injuries and did not develop complications attributable to the procedure. Morbidity and mortality rates in both groups did not appear to be increased as a result of intraoperative autotransfusion. Controversy over methods of anticoagulation and apprehension about effect on blood are not valid reasons for underutilization of this technique. Although significant administrative commitments are required to implement its use and to treat the coagulopathy that accompanies massive reinfusions, they are justified by the value of intraoperative autotransfusion in most cases in which two or more units of blood would be required ordinarily.
尽管随着商用设备的出现，术中自体输血的关注度有所提高，但在大多数医院，这项技术的使用仍然很少。我们的经验始于1972年的零星使用，现已发展到每月至少常规使用十次。该机器由一名技术人员操作，我们会对自体输血系统（ATS）储液器进行肝素化处理。我们的系列病例包括47例行择期血管手术的患者和141例行急诊手术的患者，后者通常是因创伤。在后一组中，7例接受了被肠内容物污染血液自体输血的患者在受重伤后存活下来，且未出现该操作导致的并发症。两组的发病率和死亡率似乎并未因术中自体输血而增加。关于抗凝方法的争议以及对血液影响的担忧并不是该技术使用不足的有效理由。尽管实施该技术的使用以及治疗大量回输所伴随的凝血病需要大量的管理投入，但在大多数通常需要输注两单位或更多单位血液的情况下，术中自体输血的价值证明了这些投入是合理的。
