储存式自体输血在Rh(D)阴性血型患者择期手术中的应用  

Application of preoperative autologous blood transfusion in patients with Rh(D) negative blood type

作　　者：周柏发[1] 孙波[2] 杜雪冰[1] 王志敏[1] 肖玉[1] 

机构地区：[1]首都医科大学附属北京天坛医院输血科,北京100050 [2]青岛大学医学院附属医院

出　　处：《临床血液学杂志（输血与检验）》2008年第1期77-78,共2页Journal of Clinical Hematology(Blood Transfusion & Laboratory Medicine)

摘　　要：目的：探讨储存式自体输血在Rh（D）阴性血型患者择期手术中的应用。方法：对78例Rh（D）阴性血型患者在术前3～9d根据预计术中输血量分次采集自体血800～1200ml。采血后患者口服多糖铁150mg，tid同时适当加强营养。采集的血液置4℃贮血冰箱内保存备用。结果：78例患者中除4例因肿瘤巨大手术出血量过多，分别输异体悬浮红细胞3U（2例），4U（2例），其余病例均未输注异体血，手术获得顺利完成。检测患者采血前、后及回输后Hb、Hct值，经统计分析差异无统计学意义。结论：储存式自体输血对Rh（D）阴性血型患者在择期手术中是解决血源紧张的一种行之有效的方法，具有临床推广应用价值。Objective：To investigate the probability of predeposit autologous blood transfusion of patients with Rh（D） negative blood type. Methods：78 cases were selected to carry on preoperative autologous blood transfusion. The patients took Ferrosi Succinatis 150mg every 12 hour from the day of deciding autologous blood transfusion to the surgery operation-day. We drew blood through a CPAD blood bag placed in an antecubital vein. Three times of solution to the blood was simultaneously infused （Crystalloid solution to colloid solution was 2：1）. Results：4 of 78 patients received allogenic blood transfusion because of major blood loss during operation. Others did not receive allogenic blood transfusion. Hb and Hct showed no significant differences between before blood collection, after blood collection and after transfusion. Conclusion：Preoperative autologous blood transfusion is an effective method to solve the shortage of rare blood type for patients with Rh（D） negative blood type during selective operation.

关 键 词：储存式自体输血 RH(D)阴性 择期手术 

分 类 号：R457.1[医药卫生—治疗学] R61[医药卫生—临床医学]