术中自体血液回收与回输的应用研究  

Reasearch of autologous blood salvage and transfusion in operation

作　　者：郑祥德 宋祥勇[1] 

机构地区：[1]四川省达州市中心医院麻醉科,达州635000

出　　处：《临床医学》2011年第6期19-20,共2页Clinical Medicine

摘　　要：目的探讨自体血液回收技术在血液保护中的作用。方法运用ZITI-2000型血液回收机回收与回输自体血116例,监测术前及术中心率(HR)、平均动脉压(MAP)、动脉血氧饱和度(SpO2)、血红蛋白(Hb)、血细胞比容(Hct)、血小板计数(PLT)的变化,测定红细胞悬液的Hct,记录每例回收血量、回输血量和异体输血率。结果①平均每例回收血3379m l,回输血液1235m l,异体输血率为25.8%。②回输后HR、MAP、SpO2、Hb、Hct显著上升(P<0.01),PLT无显著变化。③回输红细胞悬液Hct为0.41～0.49。结论自体血液回收技术是一种安全、可靠的血液保护技术,可显著节约血源和减少异体输血。Objective To investigate the effect of intraoperative autologous blood salvage and transfusion on blood conservation.Methods Blood salvage and autologous blood transfusion was done with ZITI autologous blood recovery system in 116 cases.The varieties of HR,MAP,SpO2,Hb,Hct,and PLT were observed at pre-operation and operation.The Hct of red cell suspension,the volumes of callbacked blood,the volumes of recovery blood and the rate of foreign blood infusion were recorded as well.Results ① The mean volume of callbacked blood and recovery blood were 3379 ml and 1235 ml respectively.The rate of foreign blood infusion was 25.8%.② HR,MAP,SpO2,PLT were stable and the Hb,Hct were increased（P0.01） after blood transfusion.③ The Hct of retransfusional red cell suspension varied from 0.41 to 0.49.Conclusion Intraoperational blood salvage and tranfusion is safe and reliable in blood conservation,which can significantly salvage the blood and reduce the use of foreign blood.

关 键 词：血液回收 自体输血 血液保护 

分 类 号：R457.1[医药卫生—治疗学]