3种不同回收出血方法在急诊中的应用  

pplication of three different bleeding recovery methods in emergency

作　　者：刘萍[1] 杨丽琴[1] 贾晋莉[1] 

机构地区：[1]广东医学院附属南山医院

出　　处：《护理研究（下旬版）》2010年第9期2468-2469,共2页Chinese Nursing Researsh

基　　金：深圳市南山区科技研发资助项目;编号;南科卫2008014

摘　　要：[目的]比较传统滤过式、改良滤过式及回收机3种血液回收方法对回收血液质量的影响,寻找急诊出血病人回收自体血的较好方法。[方法]对30例腹腔内大量出血手术病人随机采取3种方式进行血液回收,每种方式各10例,分别将每例病人回收自体血样作红细胞计数(RBC),血红蛋白(Hb),平均红细胞体积(MCV),红细胞形态等检测,并记录3组与血液回收相关的指标并进行比较。[结果]在显微镜下对照观察了红细胞形态亦无明显改变或破坏,在平均回收准备时间及回收过程操作程序等指标方面存在差异。[结论]简单实用的滤过式全血回输装置输注的血液更接近全血成分,利于病人的恢复;改良滤过式回收法回收更彻底,回收速度快,抢救休克及时有效,对于纯粹闭合性大出血者经济实用。Objective：To compare the influence of three blood recovery methods including traditional filtration,improved filtration and recovery equipment on quality of recovered blood,and look for the better method for autoblood recovery of bleeding patients in emergency department.Methods：A total of 30 patients with massive bleeding in abdominal cavity undergoing operation were randomly divided into three groups 10 cases each,each group accepted one of the three methods,then the RBC counting,monitoring of Hb,MCV and RBC morphous were carried out for recovered autoblood of all cases,then to record and compare the indexes related with blood recovery among the three groups.Results：No change and breakdown in RBC morphous were found under microscope,there was statistical significant difference in term of average recovery preparing time and recovery process operation procedure among the three groups.Conclusion：the blood infused by simple and practical filtered whole blood reinfusion equipment is closed to whole blood composition,which is profit to patients＇ rehabilitation;the blood recovery with improved filtration recovery is more thorough,the speed is quick,which was used in salvage of shock is in time and effective,and it is practical for patients with completely closed hemorrhoea.

关 键 词：血液回收 急诊出血 手术 

分 类 号：R47[医药卫生—护理学]