储存式自体输血在老年病人中的应用  

Preoperative autologous blood transfusion used in the elderly patients.

作　　者：周柏发[1] 王志敏[1] 肖玉 

机构地区：[1]北京医科大学附属北京天坛医院,100050

出　　处：《中国实用外科杂志》2000年第4期221-222,共2页Chinese Journal of Practical Surgery

摘　　要：目的　观察老年人术前储存式自体输血的临床效果。方法　自决定施行储存式自体输血之日起 ,入选病例每天口服多糖铁 1 5 0mg ,每日 2次。采血前 1小时按予采血量的 3倍给予晶、胶液体 (晶、胶液体量比例为2∶1 )经外周静脉输入 ,然后经另一侧静脉采血 ,每次采血 40 0ml,间隔 72小时采血 1次 ,总采血量不应超过1 2 0 0ml。结果　除 2例病人因术中失血量过多同时输注异体血外 ,其余病人均未用异体血 ,术后恢复良好。结论　在老年病人中开展储存式自体输血 ,应严格掌握适应证 ,只要病人血红蛋白 (HBG)、红细胞压积 (HCT)、血小板(PLT)在正常范围内 ,无严重心、肺疾患 。Objective To further observe the effect of preoperative autologous transfusion in the elderly patients.Methods The patients took Ferrosi Succinatis 150mg every 12 hours from the day of deciding to use autologous transfusion to the surgery operationday.We drew blood through a CPAD blood bag placed in an antecubital vein.Three times of solution to the blood was simultaneously infused(Crystalloid solution to colloid solution is 2∶1).Results 32 patients only received autologus blood transfusions except 2 patients also received allogenic transfusions because of the amount blood was lost.All patients had no obvious complications.Conclusion Autologous transfusion can be used with strict indications.As long as the patients' HBG,HCT and PLT are normal and without diesases of heart and lungs,this method is safe and effective.

关 键 词：储存式自体输血 老年人 血红蛋白 HCT PLT 

分 类 号：R457.1[医药卫生—治疗学]