术中自体血回输对凝血功能影响的研究进展  

The effects of intraoperative salvage autotransfusion on coagulation function

作　　者：查涵宁 李元海[1] 邹宏运[1] 

机构地区：[1]安徽医科大学第一附属医院麻醉科,合肥230022

出　　处：《国际麻醉学与复苏杂志》2015年第11期1041-1044,共4页International Journal of Anesthesiology and Resuscitation

基　　金：安徽省科技攻关计划项目（1301042204）

摘　　要：背景随着对围术期血液保护的深入认识，术中自体血回输（intraoperative salvage autotransfusion，ISA）得到了广泛应用，其潜在风险也逐渐受到人们的关注。目的通过总结国内外的研究，明确ISA对凝血功能是否会造成影响并探讨其原因，为临床应用带来理论指导，为进一步研究提供方向。内容从凝血成分的消耗、抗凝剂的使用、红细胞、残余凝血成分、人工操作等方面分析ISA对凝血功能的影响，并提出建议。趋向寻找有效的方法减少可能存在的不良影响，提高ISA的安全性。Background With the deep understanding of perioperative blood conservation, intraoperative salvage autotransfusion （ISA） has been widely used, and the potential risk of ISA has been revealed. Objective To summarize the recent studies of ISA, and to discuss the question whether ISA will exert effect on coagulation function and the reason behind, in order to guide clinical use and provide direction for further study. Content This review, from the perspective of the consumption of blood coagulation components, the use of anticoagulant, erythrocytes, the residual components and manual operation, analyses its effect on coagulation function, and provides suggestions on the use of ISA. Trend Safer methods should be searched to minimize the harmful effects, so as to improve the security of ISA.

关 键 词：自体血回输 凝血功能 血栓弹力图 

分 类 号：R614[医药卫生—麻醉学]