储存式自体血回输在心脏瓣膜置换术中的应用研究  

The applied research of stored autologous blood transfusion in heart valve replacement surgery

作　　者：吴晓燕[1] 陆艳[1] 宋国蓉[1] 

机构地区：[1]浙江省嘉兴市第二医院输血科,314000

出　　处：《中华全科医学》2014年第1期53-54,163,共3页Chinese Journal of General Practice

摘　　要：目的 探讨储存式自体血回输在心脏瓣膜置换术中的应用价值.方法 对38例择期行心脏瓣膜置换术患者术前储存自体血200 ～ 600 ml,分析采血前、后及输入自体血后患者血常规和血凝分析实验室数据变化情况,统计输血不良反应、节约血量等.结果 采血前后各项血液指标差异无统计学意义（P＞0.05）.手术回输血后各项指标与手术前比较除血小板、PT、APTT无明显变化（P＞0.05）,HB、HCT、RBC低于术前（P＜0.01）,但位于正常参考值范围内,不会造成组织缺氧,避免输异体血率为47.37％（18/38）;所有患者在回输血过程中无不良输血反应.结论 储存式自体血回输安全有效,可以部分解决心脏瓣膜置换术的输血要求,减少异体血输血量,具有很好的临床应用价值.Objective To investigate the value of stored autologous blood transfusion in heart valve replacement surgery. Methods Study on 38 cases of heart valve replacement patients and stored autologous blood 200 to 600 ml before surger- y. And then analysis of the experiment date change of the routine blood tests and blood coagulation before and after blood collection and also before and after taking autologous blood transfusion was conducted. And statistics of adverse reactions and saving blood was performed. Results There was no significantly difference in various blood indicators before and af- ter blood collections（ P 〉 0.05 ）. And also there existed no significant changes in other indicators in addition to platelets, PT and Atria（ P 〉 O. 05 ）. HB, HCT and RBC were lower than those before surgery （P 〈 0.01 ）, but located within the normal reference range, did not cause tissue hypoxia, avoid homologous blood transfusion rate was 47.37% （18/38） ;no adverse transfusion reactions occurred in all patients in the transfusion process. Conclusion Stored autologous blood transfusion was safe and effective, and can be a partial solution to heart valve replacement surgery transfusion require- ments,wbich can reduce the amount of allogeneic blood transfusion,and it had good clinical value.

关 键 词：心脏瓣膜置换术 储存式自体血回输 血液保护 

分 类 号：R654.2[医药卫生—外科学] R457.1[医药卫生—临床医学]