В статье представлены результаты лечения 272 больных с заболеваниями сердца, включая ишемическую болезнь сердца, приобретенные пороки, опухоли сердца и другие. Раз- работана концепция "бескровной" программы при выполнении операций на сердце. При этом отмечается достоверное уменьшение периоперационной кровопотери. Отказ от аллоге- мотрансфузий способствовал снижению количества послеоперационных инфекционных ос- ложнений.
According to the program of bloodless surgery 272 patients were operated with coronary heart disease, acquired and congenital cardiac diseases, tumours of heart and others. The introduction of principles of bloodless surgery is favoured by not only risk from donor blood transfusion, but also by the results of the researchers dealing with the body's adaptation to acute anemia. The present study was undertaken to make a scientificand- practical assessment of actual own blood funds and their introduction in order to decrease or refuse to use donor blood at cardiac surgery under extracorporeal circulation (EC). Own blood saving methods, such as acute normovolemic hemodilution, washed autoerythrocytic reinfusion, autoplasma reinfusion, become effective in reducing hemorrhage after EC. This method is safe, simple in organization, and permitted to avoid allogeneic blood transfusion and its complications.