貯血式自己血輸血の現状 日本輸血学会認定施設における検討 診療科別自己血輸血実施状況について 輸血学会自己血輸血小委員会報告 ２

Abstract

The committee for autologous blood transfusion of the Japan Society of Blood Transfusion was assigned to evaluate the status of predeposit autologous blood transfusion in hospitals approved by the Japan Society of Blood Transfusion and to clarify problems concerning the promotion of autologous blood transfusion. Status of collection, management and compatibility testing of autologous blood transfusion have been analyzed and reported separately. Status of autologous blood transfusion at each surgical division was studied in this paper. Percentages of performance of predeposit autologous blood transfusion were 100% for orthopedics, 93% for cardiovascular surgery, 78% for general surgery, 91% for gynecology and obstetrics, 71% for neurological surgery and 95% for urology. Percentages of autologous blood without allogeneic blood cases and percentages of autologous blood units were higher in orthopedics, gynecology and obstetrics and urology divisions, but lower in cardiovascular surgery and general surgery. In cardiovascular surgery and general surgery, the differences in percentages of autologous blood without allogeneic blood cases and percentages of autologous blood units among hospitals were significant. Doctors approved by the Japan Society of Blood Transfusion and the blood transfusion service of the hospital should understand the status and information of blood transfusion during operation, and recognize their responsibility in promoting autologous blood transfusion in the surgical divisions where autologous blood transfusion is not performed sufficiently.