2007Unpublished venueRequires access

Clinical Analysis of 80 Cases with no Allogeneic Transfusion in Cardiac Surgery under Extracorporeal Circulation

Cao Guang-qiong

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Abstract

Objective The comprehensive blood conservation was used in intracardiac surgery under extracorporeal circulation to protect patients from infectious diseases transmitted by allogeneic transfusion.Methods(1) Blood was collected from venous(10 mL/kg) and pumped solution through aortic artery.Moderate hemodilution was used.After cardiopulmonary bypass,the blood was all autotransfused.(2) Aprotinin was used(6×106 KIU/kg).(3) Bleeding was carefully treated.Results The eighty cases were not qualified for allogeneic transfusion.The average of drainage volume was(296±58.21)mL 48 hours after the operation.Three days before the patients were discharged,exanimation showed that hemoglobin was more than 115 g/L and hematocrit more than 0.40.Conclusions The ways of blood conservation used on the patients with cardiac surgery under extracorporeal circulation can avoid infectious diseases caused by allogeneic transfusion.

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Objective The comprehensive blood conservation was used in intracardiac surgery under extracorporeal circulation to protect patients from infectious diseases transmitted by allogeneic transfusion.Methods(1) Blood was collected from venous(10 mL/kg) and pumped solution through aortic artery.Moderate hemodilution was used.After cardiopulmonary bypass,the blood was all autotransfused.(2) Aprotinin was used(6×106 KIU/kg).(3) Bleeding was carefully treated.Results The eighty cases were not qualified for allogeneic transfusion.The average of drainage volume was(296±58.21)mL 48 hours after the operation.Three days before the patients were discharged,exanimation showed that hemoglobin was more than 115 g/L and hematocrit more than 0.40.Conclusions The ways of blood conservation used on the patients with cardiac surgery under extracorporeal circulation can avoid infectious diseases caused by allogeneic transfusion.

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Available abstract

Objective The comprehensive blood conservation was used in intracardiac surgery under extracorporeal circulation to protect patients from infectious diseases transmitted by allogeneic transfusion.Methods(1) Blood was collected from venous(10 mL/kg) and pumped solution through aortic artery.Moderate hemodilution was used.After cardiopulmonary bypass,the blood was all autotransfused.(2) Aprotinin was used(6×106 KIU/kg).(3) Bleeding was carefully treated.Results The eighty cases were not qualified for allogeneic transfusion.The average of drainage volume was(296±58.21)mL 48 hours after the operation.Three days before the patients were discharged,exanimation showed that hemoglobin was more than 115 g/L and hematocrit more than 0.40.Conclusions The ways of blood conservation used on the patients with cardiac surgery under extracorporeal circulation can avoid infectious diseases caused by allogeneic transfusion.

Key concepts: Medicine, Extracorporeal circulation, Aprotinin, Hematocrit, Cardiac surgery, Cardiopulmonary bypass, Blood conservation, Surgery

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