储存式自体输血在前置胎盘孕妇中的临床应用  

Clinical application of predeposit autologous blood transfusion in pregnant women with placenta previa

作　　者：徐丽娟[1] 薛振伟[1] 宋雪冬[2] 

机构地区：[1]廊坊市第四人民医院产科,河北廊坊065700 [2]廊坊市第四人民医院检验科

出　　处：《临床血液学杂志（输血与检验）》2016年第2期286-288,共3页Journal of Clinical Hematology(Blood Transfusion & Laboratory Medicine)

摘　　要：目的：探讨妊娠晚期储存式自体输血在前置胎盘孕妇中的应用价值。方法：选择2011-03-2015-06妇产科住院分娩的前置胎盘患者83例。在择期剖宫产终止妊娠前3周,每次采血200ml储存备用。采血前30min内和采血后2h内行患者血压、心率监测及胎心监护;采血前后监测孕妇血压、心率、呼吸情况;检测采血前后和自体血回输后红细胞（RBC）、血红蛋白（Hb）、红细胞沉降率（Hct）、血小板（PLT）、凝血酶原时间（PT）、活化部分凝血活酶时间（APTT）等指标。结果：采血及回输过程中母胎一般情况良好,新生儿Apgar评分为9~10分。83例前置胎盘孕妇采血前后及分娩后血压、心率、呼吸均无明显变化（P〉0.05）。采血前后和自体血回输后RBC、Hb、Hct、PLT、PT、APTT等指标无显著变化（P〉0.05）。结论：妊娠晚期前置胎盘孕妇应用储存式自体输血安全性好,不会对母胎产生明显影响,具有一定的临床应用价值。Objective：To explore the application effect of predeposit autologous blood transfusion in the pregnant women with placenta previa.Method：A total of 83 cases of pregnant women with placenta previa were chosed as the research objects in our hospital between March 2011 and June 2015.All patients received autologous blood collecting 1 to 2 times,200 ml each time at 3 weeks before cesarean delivering,and autologous blood were refrigerated at 4℃.Blood pressure and heart rate of the pregnant women were monitored,and fetal hearts were monitored and nursed within 30 min before blood collection and within 2h after blood collection.Blood pressure,heart rate and breathing of the pregnant women were monitored before and after the blood collecting.The blood indexed such as RBC,Hb,Hct,PLT,PT and APTT were analyzed before and after blood collection and autologous blood transfusion respectively.Result：The general situations of the pregnant women and their fetus were stable in the process of blood collection and feedback,and neonatal Apgar scores were 9 to 10 points.No obvious changes happened in blood pressure,heart rate and breathing of the pregnant women before and after blood collection,after delivery（P〉0.05）.The blood indexed such as RBC,Hb,Hct,PLT,PT and APTT were no significant changes before and after blood collection and autologous blood transfusion.Conclusion：Clinical application of predeposit autologous blood transfusion in the pregnant women with placenta previa may be security,has no ill influence on maternal and infant prognosis,and be of certain clinical application value.

关 键 词：储存式自体输血 前置胎盘 妊娠晚期 

分 类 号：R457.1[医药卫生—治疗学]