外伤性肝破裂术中腹腔血回输的临床观察  

To investigate the treatment effect of operative abdominal cavity blood for refusion in serious liver external injury

作　　者：李洪[1] 覃谦[1] 王力斌[1] 李君久[1] 陈顺文[1] 苏顺清[1] 陈中良[1] 戴新明[1] 欧阳杰[1] 

机构地区：[1]中山大学东华医院外七科,广东省东莞523110

出　　处：《中国基层医药》2006年第1期36-37,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨严重肝外伤术中采用腹腔血回输的临床效果。方法随机将57例严重肝外伤患者在术中分全部采用腹腔血回输(Ⅰ组)、部分腹腔血回输+库血(Ⅱ组)和输全库血(Ⅲ组)三组,测定输血前、后机体凝血及纤溶等指标的变化。结果三组间比较,除纤维蛋白原(Fbg)回输后只有Ⅲ组显著高于Ⅰ组、Ⅱ组外,其他各项指标无显著差异。结论外伤性肝破裂腹腔血回输用于抢救危重患者具有及时、节约血源和减轻患者经济负担等优点,只要严格掌握适应证和回收操作规程,外伤性肝破裂腹腔血回输是安全的。Objective To investigate the treatment effect of operative abdominal cavity blood for refusion in serious liver external injury（ Ⅲ -Ⅳ grade）. Methods 57 cases with serious liver external injury were randomly divided into operative abdominal cavity blood for refusion（ Ⅰ group） , part abdominal cavity blood and banked blood for refusion（ Ⅱ group） and total banked blood for refusion. The change of the clinical data were analysed. Results Compared with three groups,except that Fbg in Ⅲ group were advanced than Ⅰ,Ⅱ group,the others index had no significant difference. Conclusion For rescuing the patients with serious liver external injury,operative abdominal cavity blood for refusion has good quality in treatment in time,lessening patient economics burden, conserve blood source and solving blood source difficulty. Especially for the patients with AB blood type and Rh negative,it is very important to save their life. If only strictly master the adaptation symptom and refusion discipline,operative abdominal cavity blood for refusion is still safe.

关 键 词：肝外伤 出血 外伤性肝破裂 腹腔血回输 临床观察 

分 类 号：R657.3[医药卫生—外科学]