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개심술시 Cell Saver를 이용한 자가수혈의 효과

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Author(s)
윤경찬최세영유영선이광숙박창권
Keimyung Author(s)
Choi, Sae YoungYoo, Young SunLee, Kwang SookPark, Chang Kwon
Department
Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
Journal Title
대한흉부외과학회지
Issued Date
1998
Volume
31
Issue
1
Keyword
Cell saverBlood transfusion, autologous
Abstract
Homologous blood transfusion entails substantial risks, including allergic reactions, transmission diseases such as hepatitis, acquired immunodeficiency syndrome. Autotransfusion system is a common method of reducing the need for homologous blood transfusion during cardiac operation. Between July 1993 and July 1995, a series of 40 patients undergoing open heart surgery was selected to an autotransfusion group(n=20) or a control group(n=20). The cell saver system(AT1000, Electromedics, Englewood, CO, USA) was employed for autotransfusion. With this system, shed blood in operative field during cardiopulmonary bypass(CPB) and remained blood in cardiotomy reservior after CPB was aspirated by means of a locally heparinized collecting system. After centrifuge salvaged blood, the resulting red cell concentrate reinfused subsequently. The amounts of blood loss were 766.5±121.3 ml in cell saver group, 770.1±113.6 ml in control group, and there were no significant differences between two groups(P=NS). The amounts of blood transfused were 2.91±1.72 units in cell saver group, 4.82±1.72 units in control group. Composition of processed blood by cell saver was hemoglobin 17.4 gm%, hematocrit 56.4%, RBC 5,780,000/ul, WBC 9,900/ul, and platelet 33,000/ul. There was no complication related to cell saver. Conclusively, cell saver autotransfusion system is safe, effective method for reducing the homologous blood trasfusion in cardiac surgery.
Alternative Title
Effects of Autotransfusion using Cell Saver in Open Heart Surgery
Keimyung Author(s)(Kor)
최세영
유영선
이광숙
박창권
Publisher
School of Medicine
Citation
윤경찬 et al. (1998). 개심술시 Cell Saver를 이용한 자가수혈의 효과. 대한흉부외과학회지, 31(1), 28–31.
Type
Article
ISSN
0301-2859
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/40010
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
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