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oai:niigata-u.repo.nii.ac.jp:00024233
2022-12-15T03:54:08Z
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Packed red cell and blood infusion during anesthesia (Indications and Problems in Tranfusion of Blood Components as of 1986)
2) 術中の輸血管理と赤血球濃厚液(シンポジウム 血液製剤の輸血適応と問題点, 1986年, 第420回新潟医学会例会)
2) 術中の輸血管理と赤血球濃厚液(シンポジウム 血液製剤の輸血適応と問題点, 1986年, 第420回新潟医学会例会)
羽柴, 正夫
145003
里見, 典文
145004
渡辺, 重行
145005
surgical bleeding
packed red cell
plasma components
whole blood
術中出血
赤血球濃厚液
血漿成分
全血
While the demand of plasma components has increased remarkably, the red cell fraction has been in exessive supply. So the use of packed red cell during operation is encouraged. We surveyed the present evidence of blood transfusion. Adult patients (16~65 years old, and excluding the cases of cardiopulmonary bypass) were studied. They underwent blood transfusion during operation in our hospital from January to April in 1986. 48.5% of the patients were transfused with packed red cell, whereas whole blood was still employed for 47.6%. Plasma components were used in 40% of the patints, even in the cases less than 600ml of bleeding. In the region of 600~1,200ml of bleeding, the patients were devided into two groups. One of them was transfused with packed red cell only, and the other with whole blood (including packed red cell combined with plasma components). There were no significant differences in the values of hematocrit, hemoglobin and to tal protein between these two groups both before and after operation. On the basis of these results, it would be expected the decrease in plasma components transfusion and the increase in packed red cell usage. Moreover, we propose the applications of hemodilution, autotransfusion and plasma substitute to prevent the complications of blood transfusion.
departmental bulletin paper
新潟医学会
1987-03
application/pdf
新潟医学会雑誌
3
101
158
160
新潟医学会雑誌
AN00182415
00290440
https://niigata-u.repo.nii.ac.jp/record/24233/files/101(3)_158-160.pdf
jpn