[Infusion-transfusion tactics in tubercular surgical patients in relation to the volume of surgical blood loss]

Abstract

Infusion-transfusion tactics were studied in 71 patients with pulmonary tuberculosis during surgery and after it. Hemostasis parameters have been determined at different periods after surgery. Blood transfusion was not performed in patients with surgical blood loss below 500 g. When surgical blood loss was 500 to 1000 g hemotransfusion volume was 40-50% of blood loss. When surgical blood loss was 1000 g the volume of blood substituting solutions exceeded blood loss 2.4-4 times; in massive blood loss it was 1.5 times more. For the first 24 hours after surgery the volume of infusion-transfusion therapy was maintained at the same level, with its decrease 48 and 72 hours later. Such tactics promoted a favourable clinical course of the postoperative period and stabilization of basic homeostasis parameters.