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心脏直视手术中血液使用量的减少。

Reduction of blood usage in open heart surgery.

作者信息

Tector A J, Gabriel R P, Matericka W E, Oparah S S, Flemma R J, Lepley D

出版信息

Chest. 1976 Oct;70(4):454-7. doi: 10.1378/chest.70.4.454.

DOI:10.1378/chest.70.4.454
PMID:975949
Abstract

A series of 142 adult patients undergoing open-heart surgery were studied. All known blood-conservativing methods were utilized in an attempt to use as little blood as possible. Hemodilution, autologous transfusion, prevention of wasting of blood, and management of postoperative anemia were the measures employed. An average of 2.66 units of blood were given per patient during the entire hospital stay. Twenty patients were not given any blood at all. The patients were removed from cardiopulmonary bypass without difficulty when the hematocrit reading was in the high teens or low twenties. Later in the postoperative period the patients seemed to progress without difficulty with hematocrit readings of 22 to 25 percent.

摘要

对142例接受心脏直视手术的成年患者进行了研究。采用了所有已知的血液保存方法,试图尽量减少血液使用量。所采取的措施包括血液稀释、自体输血、防止血液浪费以及处理术后贫血。每位患者在整个住院期间平均输注2.66单位血液。20例患者根本未输血。当血细胞比容读数处于十七八或二十一二时,患者顺利脱离体外循环。在术后后期,血细胞比容读数为22%至25%时,患者似乎也顺利康复。

相似文献

1
Reduction of blood usage in open heart surgery.心脏直视手术中血液使用量的减少。
Chest. 1976 Oct;70(4):454-7. doi: 10.1378/chest.70.4.454.
2
The use of hemodilution and fresh autologous blood in open-heart surgery.
Anesth Analg. 1974 Sep-Oct;53(5):672-83.
3
Intraoperative autologous blood salvage with cardiac surgery: an analysis of five years' experience in more than 3,000 patients.心脏手术中的术中自体血液回收:对3000多名患者五年经验的分析
J Clin Anesth. 1992 Sep-Oct;4(5):359-66. doi: 10.1016/0952-8180(92)90156-u.
4
Open-heart surgery in Jehovah's Witnesses: experience in a Canadian hospital.
Ann Thorac Surg. 1977 Apr;23(4):367-70. doi: 10.1016/s0003-4975(10)64144-6.
5
Autologous blood transfusion during cardiopulmonary bypass.体外循环期间的自体输血
Chest. 1976 Nov;70(5):592-5. doi: 10.1378/chest.70.5.592.
6
A minimal priming technique that allows for a higher circulating hemoglobin on cardiopulmonary bypass.一种能使体外循环时循环血红蛋白水平更高的最小预充技术。
Perfusion. 1998 Sep;13(5):311-3. doi: 10.1177/026765919801300505.
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Retrograde autologous prime with shortened bypass circuits decreases blood transfusion in high-risk coronary artery surgery patients.采用缩短体外循环回路的逆行自体预充可减少高危冠状动脉手术患者的输血。
J Extra Corpor Technol. 2004 Dec;36(4):343-7.
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The effects of phlebotomy, hemodilution and autologous transfusion on systemic oxygenation and whole blood utilization in open heart surgery.放血、血液稀释和自体输血对心脏直视手术中全身氧合及全血利用的影响。
Chest. 1975 Sep;68(3):283-7. doi: 10.1378/chest.68.3.283.
9
Hemodilution and surgical hemostasis contribute significantly to transfusion requirements in patients undergoing coronary artery bypass.血液稀释和手术止血对接受冠状动脉搭桥手术患者的输血需求有显著影响。
J Thorac Cardiovasc Surg. 2005 Sep;130(3):654-61. doi: 10.1016/j.jtcvs.2005.02.025.
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Reduction of homologous blood requirements by blood-pooling at the onset of cardiopulmonary bypass.
J Thorac Cardiovasc Surg. 1994 May;107(5):1210-4.

引用本文的文献

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Effect of dextrose-crystalloid priming solution on fluid requirements and urine output during cardiopulmonary bypass.葡萄糖晶体预充液对体外循环期间液体需求量和尿量的影响。
Tex Heart Inst J. 1986 Sep;13(3):341-4.
2
Limiting excessive postoperative blood transfusion after cardiac procedures. A review.限制心脏手术后的过度输血。综述。
Tex Heart Inst J. 1995;22(3):216-30.
3
Perioperative transfusions associated with colorectal cancer surgery: clinical judgment versus the hematocrit.结直肠癌手术围手术期输血:临床判断与血细胞比容
World J Surg. 1986 Jun;10(3):516-21. doi: 10.1007/BF01655325.
4
Homologous blood use and conservation techniques for cardiac surgery in the United Kingdom.英国心脏手术中的同源血使用与保存技术。
BMJ. 1988 Nov 26;297(6660):1390-1. doi: 10.1136/bmj.297.6660.1390.
5
The stratification of cardiac surgical procedures according to use of blood products: a retrospective analysis of 1480 cases.根据血液制品使用情况对心脏外科手术进行分层:1480例病例的回顾性分析。
Can J Anaesth. 1991 May;38(4 Pt 1):511-7. doi: 10.1007/BF03007591.