TY - JOUR T1 - The effect of autologus and hetrologous transfusion on homeostasis and hematological parameters in cardiac surgery TT - بررسی متغیرهای هماتولوژیک و انعقادی دو گروه بیمار پس از انتقال خون هترولوگ و اتولوگ به دنبال جراحی بای پس عروق کرونر در بیمارستان بعثت نهاجا و شهید چمران در سال 1381 JF - ابهاد-نهاجا JO - ابهاد-نهاجا VL - 9 IS - 1 UR - http://ebnesina.ajaums.ac.ir/article-1-111-en.html Y1 - 2006 SP - 5 EP - 11 KW - CABG KW - Autologous and Hetrologous transfusion Homeostasis KW - Hematological Parameters N2 - Introduction: Autologous transfusion is a longstanding concept and has many advantages, particularly for complex operative procedures, such as cardiac surgery and organ transplantation. A.N.H technique, one of the tree types of autologous transfusion was used in patients who were candidates for CABG surgery with cardiopulmonary bypass (CPB). Materials and Methods: The records of 410 Patients who have been CABG operated in Be’sat and Shahid Chamran hospital in 2002 has been studied in a descriptive observation study. In this research, the patients who showed no symptom of certain disease such as anemia, kidney disease, and severe liver disease, were included. A careful and scientific study of these cases required enough information about their age, sex, cell blood count, PT, PTT, INR, O2 Saturation and amount of their needed blood products. Lack of enough information regarding any of these factors excluded that patient from our study. Results: In this research, 410 Patients, mostly male (74.6%) and with the commonest age range of 60-64(19.51) have been studied. The amount of Hb of their blood showed no change before and after CABG operation in autologus and heterologus group but the amount of platelet was more in the latter. After the operation, there was no difference on the amount of O2 Saturation and homeostasis parameters before and after CABG in both heterologus and autologus transfusion. But the need for blood products was more in heterologus group during the operation and ICU care period. Conclusion: A.N.H decreases the amount of homologous blood use. Therefore this technique is recommended in all patients with adequate Hb concentration who are candidates for cardiac surgery with CPB. M3 ER -