回收式自体输血在肝移植手术中的应用  

The application of recovered self-blood transfusion in liver transplantation

作　　者：宋海燕[1] 李振才[1] 宋汉娟 张蕊[1] 

机构地区：[1]解放军第三零九医院输血科,北京100091 [2]解放军总装备部炮兵研究第所门诊部

出　　处：《北京医学》2006年第2期114-115,共2页Beijing Medical Journal

摘　　要：目的探讨肝移植手术中实施自体血回收的可行性。方法选择44例肝移植手术者,术中使用国产2000型血液回收机回收自体血,采用负压吸引法,将患者创面的血吸入贮血器内,通过与一定的抗凝剂混合后,浓缩的红细胞则进入贮血袋内,直接回输给患者。结果44例肝移植患者共计回收血液180836ml,其中最大回收量为19143ml,最小回收量为286ml。自体血的回输保证了手术的用血量,使得手术能顺利进行,减少了异体血的用量。结论回收式自体输血对于今后输血领域解决血源紧张、降低输血反应、避免输血传染病有重大应用价值。Objective Liver transplantation needs a lot of blood, therefore it is necessary to explore the feasibility of blood recovery from the operative patients. Methods Blood recovery machine type 2000 made in China was used to recover the blood from the operative patient in 44 operations. By using the method of negative pressure, blood dropped from the patient＇s wound was abstracted into a container, then it was mixed with anticoagulants and the contracted erythrocytes were flowed into the blood stock belt. Finally the blood was transfused back the patient. Results The total amount of the recovery blood in the 44 operations were 180 836ml in total, the maximum amount recovered from one patient was 19 143 ml, the minimum amount was 286ml. It ensured the amount of blood needed for the operation and avoided using too much banked blood. This contributed to the success of the operation. Conclusions Blood recovery from the operative patients is of great importance in blood transfusion. It relieves the shortage of banked blood, reduces the chances of blood transfusion reaction, and avoids the chances to get contagious diseases from the transfusion.

关 键 词：肝移植 自体输血 回收式自体输血 肝移植患者 手术中 自体血回收 血液回收机 直接回输 2000型 负压吸引法 

分 类 号：R657.3[医药卫生—外科学]