Popis: |
A decrease in the blood volume and its components was found in 65 burn patients, graded in 3 groups according to the degree of the injury and the burned surface area. The blood volume is restored after the first 24 hours in patients with superficial burns. The RBC volume, however, is not restored and demonstrates a tendency to decrease during the shock phase in patients with moderate and severe burns. These patients need the first blood transfusion about the twenty-fourth hour after the injury. Antileucocyte iso-antibodies in 66 per cent, antierythrocyte antibodies in 24·5 per cent and anti-platelet antibodies in 5·6 per cent were demonstrated in burn patients who had received multiple blood transfusions. The iso-immunization may be avoided using leucocyte and erythrocyte compatible blood. This is a way to avoid the post-transfusion reactions and the danger of early rejection of allotransplanted skin grafts. |