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《Chinese Journal of Blood Transfusion》 2019-01
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Application of blood component auto-transfusion in one Rh negative patient during cardioplumonary bypass operation

MA Yintu;WNAG Gengyin;LI Zhu;ZHANG Yi;DONG Shuwen;LI Lihua;Department of Blood Transfusion,Bethune International Peace Hospital;Hebei Blood Center;  
Objective To evaluate the safety of blood component autotransfusion combined with acute normovolemic hemodilution(ANH)in cardioplumonary bypass(CPB)open heart surgery, providing case reference for developing autotransfusion in complex surgical operation. Methods After carefully considering the clinical data and patient medical history, blood component autotransfution combined with ANH was proposed and planned for the transfusion. Results The surgery was successful and the patient recovered smoothly without transfusion homologous blood during perioperative period. The patient,s vital sign was stable with no transfusion adverse reactions. Conclusions The autotransfusion proposed an effective blood conservation approach. Patients are now offered with a promising option, especially for the rare blood type patients. The blood component autotransfusion combined with ANH in heart surgical operation, in this case, was safe, practical, low blood consumption, and worth promoting in clinical practices.
【CateGory Index】: R654.2;R457.1
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