回收自体血液在急诊大出血病人中的临床应用  

CLINICAL APPLICATION OF RECOVERED AUTOBLOOD TO SHOCK PATIENTS WITH ACUTE HEMATORRHEA

作　　者：田国刚[1] 袁振涛[1] 张海山[1] 刘美凤[1] 王继坤[2] 

机构地区：[1]胜利石油管理局中心医院麻醉科 [2]胜利油田红十字会中心血站

出　　处：《滨州医学院学报》2002年第4期258-260,共3页Journal of Binzhou Medical University

基　　金：胜利石油管理局科学技术进步计划项目 YN(95 0 5 0 )

摘　　要：目的 :研究急诊大出血病人回收自体血液的再输入。方法 :选 1 8例急诊大出血病人进行自体血液回收 (自体组 ) ,根据病情分别进行 法—回收血液过滤后回输病人 , 法—经离心、洗涤后回输 , 法—两者结合等不同处理。观察其对纠正休克的效果 ,围术期血常规、生化和肝功变化 ,输血并发症的发生及病人预后情况 ,并与同期 1 2例大出血输库血病人 (对照组 )比较。结果 :1 7/1 8例病人痊愈出院。回收自体血共 6.3万ml,回收率为 87.5 % ,结合输入晶、胶体液 ,维持循环稳定。对照组需输入大量库血 ,且死亡率高。结论Objective:To evaluate the effects of recovered autoblood reinfusion on shock patients with hematorrhea.Methods:18 patients with acute hematorrhea accepted different therapy under different circumstances.Autotransfusion was carried out by three ways:①Shed blood was collected and filtered in sterile disposable single use reservoirs for immediate reinfusion.②After collected and filterd,the shed blood was centrifuged and washed with saline and finally reinfused.③The combination of two methods mentioned above.Routine blood test(RBC,WBC,Hb),plasma ALT,AST,Cr,Ur,plasma K +,Na +,and Cl +,the patients prognosis,and therapeutic effect were observed during perioperation and comparisons were made between autologous transfusion group and allotransfusion group.Results:Intravascular volume of 18 patients were mainly supplied with recovered blood.17 of 18 patients recovered and were discharged from hospital.Auto transfusion associated complications were fewer than those of allotransfusion.Conclusion:Intraoperative autotransfusion might contrbute to rescue shock patients with acute hematorrhea.

关 键 词：临床应用 自体血液 出血性休克 异体输血 自体输血 

分 类 号：R605.97[医药卫生—急诊医学] R457.1[医药卫生—外科学]