A dissertation submitted to the Faculty of Medicine, University of the Witwatersrand, Johannesburg, in fulfilment of requirements for the degree of Master of Medicine (Surgery) Johannesburg 1993. / During the period June 1985-December 1989, 77 patients were accumulated for
the autotransfusion trial, 21 of which were control patients. These
patients were managed at three institutions namely Hillbrow (64),
Coronation (1) and Shongwe (12) Hospitals. Of these 77 patients, 65 were
involved in penetrating or blunt injuries, and 12 were ruptured ectopic
pregnancies. The ages of all patients ranged from 16 yrs to 65 yrs.
The patients were divided into four groups:
1 banked blood only (controls), 21
2 autotransfused blood only, 27
3 combined banked and autotransfusion, 17
4 ruptured ectopic pregnancies, 12.
Investigated were the effects of autotransfused or banked blood volumes on
the following parameters:
1 White cell counts: admission and post-transfusion day 1
2 Platelet counts: post-transfusion days :1. and 2
3 Haemoglobin: admission and post-transfusiondays 1 and 2
4 prothrombin indeex: post-trancfusidoanys 1, 2, and 3
5 Partial thromboplast times: post-transfusion days 1 and 2
6 Fibrinogen Degradation products: post-transfusion day 1
7 Haptoglobin levels: post-transfusion day 1
8 Haemopexin levels: post-transfusion day 1
9 Fibrinogen levels: post-transfusion days 1 and 2
Four salvage techniques were utilised.
Complications were analysed for each transfusion group.
Autotransfusion of salvaged blood from haemotihoxaces and haemoperitoneums
is safe, efficaoious, and cost effective, provided that certain guidelines
are followed.
| Identifer | oai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:wits/oai:wiredspace.wits.ac.za:10539/20603 |
| Date | 14 July 2016 |
| Creators | Bautz, Peter Curt |
| Source Sets | South African National ETD Portal |
| Language | English |
| Detected Language | English |
| Type | Thesis |
| Format | application/pdf |
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