[The problem of homologous blood in transfusiology and its solution]

In cardiosurgery conducted in this country and abroad the development of homologous blood syndrome was observed. Its frequency comprises up to 2.5%, according to the authors' data. It has been established that the syndrome is the result of isoimmunologic incompatibility by the antigenic systems of blood plasma allogeneic proteins. The authors have proposed the testing of blood compatibility by the agglutination methods according to the erythrocytic antigen systems with the use of the complement-fixation test according to the protein-plasma antigen systems, due to these tests the development of homologous blood syndrome has been completely eliminated from their practice. The development of massive blood transfusion syndrome described by some transfusiologists has been rejected by the authors, it is considered by them as manifestation of insufficient blood compatibility of the test animals as a result of a wrong method of their isoimmunologic selection using the only cross-testing.