[Problems of blood replacement in liver transplantation].
Liver transplantation often is accompanied with massive bleeding-blood losses up to 125 I have been reported. A survey of 21 transplantations describes the management for substitution of blood components. After an initial series of 18 patients including 4 cases with blood losses exceeding 100 units of blood, an attempt was made to optimize coagulation in 5 cases with NT-values below 40% by preoperative plasmapheresis. Platelet transfusion was performed in all cases with platelet values below 120 000. These measures led to a significant reduction in blood units substituted during the last 9 transplantations.
D000328:Adult; D000368:Aged; D001780:Blood Coagulation Tests; D001803:Blood Transfusion / Q000379:methods*; D001810:Blood Volume; D017707:Erythrocyte Transfusion; D006801:Humans; D008107:Liver Diseases / Q000601:surgery*; D016031:Liver Transplantation; D008875:Middle Aged; D010951:Plasma Exchange; D017713:Platelet Transfusion; D011300:Preoperative Care; D012306:Risk
Zur Problematik des Blutersatzes bei Lebertransplantationen.