腹腔镜手术中自血回输治疗妇科血腹症的临床观察  

Clinical effect of laparoscopic surgery accompanied by autologous transfusion treated hemorrhagic abdomen in gynecology

作　　者：黄雅琴[1] 王运根[1] 高阳[1] 

机构地区：[1]浙江省绍兴市人民医院,浙江绍兴312000

出　　处：《中国内镜杂志》2008年第1期38-40,共3页China Journal of Endoscopy

摘　　要：目的探讨腹腔镜手术中自血回输治疗妇科血腹症的临床效果。方法412例妇科血腹症患者均行急诊腹腔镜手术，对腹腔内积血大于400mL及以上的患者术中予自血回输。根据术前的临床表现分为休克组124例、对照组288例。结果经休克组、对照组比较，在手术时间、术后最高体温、术后24-48h血白细胞总数及血红蛋白计数各项比较，差异均无显著性，而住院时间休克组较对照组长。结论使用腹腔镜手术治疗妇科血腹症安全、高效、微创，尤其对轻、中度休克患者，术中配合自血回输，抢救效果满意，值得推广。[Objectives] To evaluate the value of laparoscopic surgery accompanied by autologous transfusion on the therapy of hemorrhagic abdomen in gynecology. [Methods] 412 women with hemorrhagic abdomen in the ward of Gynecology were divided into shock group （n =124） and control group （n =288） by the difference of clinical symptoms before operation. All the patients were treated by acute laparoscopic surgery, as the volume of intra-abdominal hemorrhage was beyond 400 mL, the patients were treated by autologous transfusion. [Resutles] All the patients were surival without complications. There was no significant difference in the following aspects： the surgical time, the highest postoperative temperature, the hemoglobin and white blood cell count from 24 to 48 hours postoperation, but the stay time in shock group was significantly longer than the control group. [Conclusions] Laparoscopic surgery is safe and useful on the therapy of hemorrhagic abdomen in gynecology, especially for the patients with slight or moderate shock. While they were treated by laparoscopic surgery accompanied by autologous transfusion, the outcome is satisfactory, it should be recommended.

关 键 词：腹腔镜手术 自血回输 血腹症 休克 

分 类 号：R713.8[医药卫生—妇产科学]