洗涤式自体血回输在外科急性失血手术中的应用价值  

The study of abstergent autologous blood transfusion on the value of surgical acute blood loss

作　　者：王自华[1] 陈祥青[2] 

机构地区：[1]泰安市岱岳区大汶口中心卫生院外科,山东泰安271026 [2]泰山医学院附属医院医院手术室,山东泰安271000

出　　处：《泰山医学院学报》2016年第10期1126-1128,共3页Journal of Taishan Medical College

摘　　要：目的探讨洗涤式自体血回输在外科急症失血手术中的应用价值。方法对100例手术患者采用国产Z-2000A血液回输机进行手术中洗涤式自体血回输,监测患者围手术期血红蛋白(HB)、红细胞压积(HCT)、血小板(PCL)、活化部分凝血酶时间(APTT)等结果,进行比对分析。结果 100急性失血患者术中共回收原血233352ml,经回收机洗涤后每例患者获得浓缩红细胞为915 ml。所有患者无一例出现回输血并发症:寒战、发热、溶血等反应。结论自体回收式血液回输能有效减少外科急性大失血术中血液无价值丢失,进而减少库血输注量,节省血源,应对血荒。尤其是在爱滋病、传染病落后国家高发地似有更高价值。Objective： To investigate the application value of autologous blood transfusion in major cardiac operation.Methods： Autologous blood transfusion in operation of 100 patients with surgery using domestic Z-2000 A blood back to the conveyor to intraoperative autologous blood doping washing type,monitoring patients perioperative Hemoglobin（ HB）,red blood cells deposited（ HCT）,platelet（ PCLS）,activated partial thrombin time（ APTT）,as a result,compare analysis.Results： The 100 cases with acute blood loss of the communist party of China to recycle the original 233352 ml of blood,and each patient after recovery machine wash for enrichment of red blood cells of 915 ml. All of the patients appeared no autologous blood transfusion complications chills,fever,such as hemolytic reactions. Conclusion： Autologous blood doping can effectively reduce the recycling type surgical acute bleeding heavily intraoperative blood loss,no value,in turn,decrease library blood infusion,save blood,blood shortages. Particularly in HIV / AIDS,laggard high incidence of infectious diseases in private higher value.

关 键 词：外科治疗 手术 自体血液回输 临床价值 

分 类 号：R614[医药卫生—麻醉学]