Blood

transfusion
Bukovinian State Medical University
General surgical department
As. prof. Rotar O.V.
Antigens structure of
blood
AB0 system (antigens A,
B and antibodies α, β).
Rh - factor
Determination of blood group by
AB0 system

Standard serums
Standard erythrocytes
Coli clons
Blood group 0 (I)

0I
I II III

IV
Blood group A (II)

АII
Blood group B (III)
BIII
Blood group AB (IV)

ABIV
Rh + (positive)
Rh - (negative)
Tests before blood
transfusion
Determination of donors blood group
Determination of recipients blood group
Capability test by AB0 system
 Capability test by Rh-factor
Biological test
Contraindications
for biological test

Unconscious status of patient

Patient under general anesthesia
Transfusion of little portions of blood
Indications for blood
transfusion:
◦Absolute – acute anemia
◦Relative – chronicle anemia
Contraindications for blood transfusion
Decompensation of urine system
Decompensation of cardiac-
vessel system
Decompensation of respiratory
system
Allergic reactions
Symptoms
of blood transfusion shock

Decrease of arterial pressure

Tachycardia
Headache
Pain in the back
Pain in the hart region
 Treatment of blood
transfusion shock

Stop the transfusion immediately

Corticosteroids
Antihistamines
Anti pain treatment
Transfusion of serum simulated solutions