血管内临时性球囊阻断技术用于减少异体输血的进展  

Progress of temporary balloon occlusion technique in the reduction of allogeneic blood transfusion

作　　者：白利敏 贾镕嫣 王莹[1] 张卫[1] 

机构地区：[1]郑州大学第一附属医院麻醉科,450000

出　　处：《国际麻醉学与复苏杂志》2016年第7期634-637,共4页International Journal of Anesthesiology and Resuscitation

摘　　要：背景血管内临时性球囊阻断（temporary balloon occlusion of aorta, TBOA ）可减少异体输血（autologous bloodtransfusion, ABT）。目的TBOA可减少术中出血及ABT并取得理想效果，总结其优势、局限性及并发症。内容减少围术期出血、ABT一直是术者及麻醉医师共同面临的问题，手术辅助技术改进、血液制品替代治疗、自体血回输等被应用于围术期。对于一些特殊群体，如肿瘤、产妇、严重创伤休克患者，术中出血量大，传统止血方式难以达到理想效果。TBOA阻断供血动脉，起到暂时止血作用，有效减少术中出血保持术野清晰，缓解了ABT的紧张程度。趋向TBOA经过改进，被用于减少术中出血和减少ABT。Background Temporary balloon occlusion of aorta （TBOA） can reduce blood loss and autologous blood transfusion （ABT） during surgery. Objective To summarize the advantages, limitations, and side effects of TBOA in the reduction of ABT during perioperative period. Content The application of TBOA in pelvic surgery, trauma, obstetric surgery, etc. was reviewed. The limitations, side effects, and suggestions for the treatment of side effects caused by TBOA were also reviewed. Trend TBOA will be widely used to reduce intraoperative bleeding and ABT with the improvement of TBOA technique.

关 键 词：血管内临时性球囊阻断 异体输血 出血 

分 类 号：R457.1[医药卫生—治疗学]