洗涤式自体血回输在心脏外科手术中的应用研究  

The study of abstergent autologous blood transfusion in cardiac surgery

作　　者：任甲坤[1] 周立民[1] 齐燕[1] 张文生[1] 吕方启[1] 

机构地区：[1]泰山医学院附属医院,山东泰安271000

出　　处：《泰山医学院学报》2010年第9期662-664,共3页Journal of Taishan Medical College

摘　　要：目的探讨自体血回输在心脏外科手术中的应用价值。方法对50例手术患者采用京精Z-2000A血液回输机进行洗涤式自体血回输,并对患者手术前、后血红蛋白、红细胞压积(HCT)、血小板、活化部分凝血酶时间(APTT)等进行分析。结果50例患者术中回收原血66352 ml,经回收机处理后每例患者获得洗涤后浓缩红细胞为855 ml。所有患者无一例回输血过程中出现寒战、发热、溶血等不良反应。结论回收式自体血液回输可有效减少心脏外科大手术中血液丢失,减少异体血输注量,特别是在经济落后以及爱滋病、传染病高发地区更有临床意义。Objective： To investigate the value of autologous blood transfusion in major cardiac operations.Methods： Autologous blood transfusion in operation of 50 patients using Z-2000A autologous blood recovery system.Retrospective analysis was made of the data of Hemoglobin（HB）,hematocrit（HCT）,platelet（PC）,platelet activated partal thromboplastin time（APTT） of preoperative and postoperative.Results： The total bleeding quantity of the 50 patients was 66352 ml,and the total autologous blood transfusion volume was 42750 ml.No autologous blood transfusion complications occurred in all cases.Conclusion： Autologous blood transfusion can effectively reduce blood loss in cardiac major surgery and reduction of homologous blood transfusion.The method has great clinical significance,especially in the backward economy and AIDS epidemic areas.

关 键 词：心脏手术 自体血液回输 临床分析 

分 类 号：R654.2[医药卫生—外科学]