RESUMO
The article highlights techniques and effects of intraoperative mechanic blood reinfusion in patients with trauma and intraabdominal bleeding in extend, exceeding the self circulating blood volume. The high efficacy of the self blood reinfusion during the emergency operation allowed the 2-fold decrease of the hospital and overall mortality. The mechanic blood reinfusion proved to be a safe and clinically effective method of the globular blood volume deficiency compensation, especially in emergency surgery.
Assuntos
Traumatismos Abdominais , Preservação de Sangue , Transfusão de Sangue Autóloga , Serviços Médicos de Emergência/métodos , Hemorragia , Procedimentos Cirúrgicos Operatórios/métodos , Traumatismos Abdominais/complicações , Traumatismos Abdominais/fisiopatologia , Traumatismos Abdominais/cirurgia , Preservação de Sangue/instrumentação , Preservação de Sangue/métodos , Transfusão de Sangue Autóloga/instrumentação , Transfusão de Sangue Autóloga/métodos , Volume Sanguíneo , Determinação do Volume Sanguíneo , Desenho de Equipamento , Hemorragia/diagnóstico , Hemorragia/etiologia , Hemorragia/mortalidade , Hemorragia/fisiopatologia , Hemorragia/terapia , Mortalidade Hospitalar , Humanos , Cuidados Intraoperatórios/métodos , Avaliação de Processos e Resultados em Cuidados de Saúde , Taxa de Sobrevida , Índices de Gravidade do Trauma , Resultado do TratamentoRESUMO
147 patients with polytrauma, complicated by acute large-volume intraabdominal bleeding, were included in the study. Anesthetic regimens and blood loss compensation were retrospectively analyzed. Thus, all patints were divided inti 3 groups: 1st group received only intraoperative blood reinfusion, 2nd group - got auto- and donor blood reinfusion, 3rd group had only donor blood transfusions. Intraoperative autoblood reinfusion allowed an adequate blood loss compensation. The method should be considered a method of choice by acute blood loss treatment during emergency operations in patients with polytrauma.