储存式自体输血在肝癌手术中的应用  

Application of stored autohemotransfusion in liver cancer surgery

作　　者：曹奎杰[1] 周金安[2] 占少华[2] 李爱华 

机构地区：[1]华中科技大学同济医学院附属协和医院输血科,武汉430022 [2]华中科技大学同济医学院附属同济医院输血科 [3]山东省阳信县人民医院

出　　处：《临床血液学杂志（输血与检验）》2012年第6期789-790,共2页Journal of Clinical Hematology(Blood Transfusion & Laboratory Medicine)

摘　　要：目的:比较储存式自体输血和同种异体输血的术后恢复效果。方法:两组择期手术的肝癌患者,术中分别输注自体血和异体血400ml,比较术前、术后1、3d的RBC、Hb、HCT、STB、UCB、K+。结果:2组患者术后1d各项检测指标较术前差异有统计学意义(P<0.05),但术后3d试验组与术前差异无统计学意义(P>0.05),与对照组比较差异有统计学意义(P<0.05)。结论:储存式自体血输血患者较异体输血患者术后各项指标恢复快,红细胞破坏少。Objective：To compare the postoperative recovery effect of stored autohemotransfusion and homogeneous blood transfusion.Method：The liver cancer patients of selective operation were divided into two groups,and received 400ml autologous blood and homologous blood transfusion,respectively.The levels of RBC,Hb,HCT,STB,UCB and K＋ before operation and after operation 1 day and 3 day were compared.Result：There were significant differences of the results of various indexes of the two group patients between 1 day after operation and before operation（P0.05）,while there were no differences of the tested group between 3 day after operation and before operation（P0.05）,and there were significant differences of the control group between 3 day after operation and before operation（P0.05）y.Conclusion：Compared to the patients received homogeneous blood transfusion,the patients received stored autohemotransfusion had rapid recovery of various indexes and less erythrocytic injury.

关 键 词：储存式自体输血 肝癌 输血效果 

分 类 号：R735.7[医药卫生—肿瘤]