Therapy with blood components
Woitinas, F.; Dietzfelbinger, H.
Münchener Medizinische Wochenschrift 123(6): 211-215
1981
ISSN/ISBN: 0341-3098 PMID: 6782463 Document Number: 169034
This survey is concerned with the differentiated application of blood and cell concentrates. The indications for administration of blood conserve, fresh blood, erythrocyte and thrombocyte concentrates are carefully delimited. From the point of view of specific therapeutic procedure it is necessary to consider transfusion of conserved blood as an immediate first aid stopgap. For massive transfusions fresh blood, and particularly in special cases warm blood, should be used as soon as possible. In chronic anemias erythrocyte concentrate free from buffy coat is the cornerstone of substitution therapy. In chronic bone marrow insufficiency frequent transfusions lead to alloimmunization and refractivity. In order to have hemostatically active thrombocyte concentrate available, the possibilities of selection of donors and pretesting by means of crossmatching are discussed.