自体血回输在颅脑手术中的应用研究  

Application of Intraoperative Autotransfusion in Cerebral Surgery

作　　者：王淑芬[1] 邹娟[1] 曹晓燕[1] 柴红[1] 

机构地区：[1]沈阳军区总医院手术室,辽宁沈阳110015

出　　处：《解放军护理杂志》2000年第2期8-10,共3页Nursing Journal of Chinese People's Liberation Army

摘　　要：自1999年5月，采用“自体-2000型血液回收机”，用于颅脑手术85例，均将术中出血通过吸引罐回收，大量生理盐水冲洗后，再分离、净化处理后回输给患者，共计回收血液44085ml。回收血RBC、HGB及Hct与患者血相比无显著差异，血气及电解质分析证实，回收血PO2明显高于患者静脉血和库血，自体血优于异体血。因此，自体血在颅脑外科应用效果较好，既解决血源紧张，又避免疾病传播，特别是用于颅内动脉瘤夹闭与切除术时出现破裂，可快速将患者血液回输，提高抢救成功率，保证手术顺利进行。The autologous-2 000 blood recovery system has been used in our hospital to conduct cerebral operation since May 1999,the number is total to 85. We first recovered the blood by the suction bottle,cleaned it by massive physiological saline and then dissociated and depurated it, finally we transfused it back to the patient. The recovered blood volume amounted to 44 085 ml. There was no significant difference between the recovered blood and the banked blood,which was proved by blood gas and electrolyte analysis. Autotransfusion was better than the homologous blood infusion. Therefore the use of autotransfusion in the cerebral surgery has obvious advantage. It can not only solve the shortage of blood source, but also avoid disease spreading. Especially in cerebral aneurism clip and resection,as the aneurysm ruptured,autotransfusion can transfuse the recovered blood back to the patient quickly,increase the probability of salvage and guarantee to carry out the operation successfully.

关 键 词：患者 颅脑手术 自体血回输 术中 库血 抢救成功率 血液回输 回收 净化处理 快速 

分 类 号：R651[医药卫生—外科学] R457[医药卫生—临床医学]