脾动脉灌注脾血回输技术在脾切除术中的临床应用  

Clinical study of splenic artery perfusion and auto-transfusion in splenectomy

作　　者：陈玉祥[1] 王光勇[1] 刘震[1] 魏禹[1] 刘航[1] 

机构地区：[1]德阳市人民医院普外科,四川德阳618000

出　　处：《西部医学》2009年第12期2144-2145,共2页Medical Journal of West China

摘　　要：目的探讨脾动脉灌注脾血回输技术在脾切除术中的临床应用价值。方法34例巨脾患者，在术中结扎脾动脉近心端，从脾动脉远心端灌注乳酸钠林格注射液750～900ml后切除脾脏。结果术后HGB、HCT、WBC、PLT均较术前显著升高（P〈0．01），手术失血量50～700ml，平均156．8ml，手术中输血0-400ml，平均88．2ml。结论脾动脉灌注脾血回输技术实用性强，具有操作简单、安全、无副作用、节约血源及经费等特点，可于临床推广应用，但应严格掌握适应证。Objective To evaluate the clinical experience of splenic artery perfusion and auto-transfusion in splenectomy. Methods 34 patients with splenomegalia were treated with adopting splenic artery perfusion and the ligation of splenic artery. Results HGB, HCT, WBC and PLT were increased after treatment. Conclusions The method of splenic artery perfusion and suto-transfusion is easy, safe and effective.

关 键 词：脾动脉灌注 脾血回输 脾切除术 

分 类 号：R657.6[医药卫生—外科学] R605.972[医药卫生—临床医学]