血液回收器在减少心脏手术用血中的应用  

Application of blood collector in reducing the amount of blood used in cardiac surgery

作　　者：庞小锋[1] 许火连[1] 韦华[1] 杨钊群[1] 

机构地区：[1]广东省高州市人民医院麻醉科二区,高州市525200

出　　处：《护理实践与研究》2016年第21期78-80,共3页Nursing Practice and Research

摘　　要：目的：探讨自体血液回收器在减少心脏手术用血中的应用效果。方法：选取我院手术室2013年9月~2016年2月收治的88例手术患者,并随机等分为研究组和对照组,其中对照组采取负压吸引器回抽血液,再将“机器余血”回输至患者体内;研究组则利用血液回收器将术野出血回抽,再予以洗涤处理,并将血液回输给患者。记录两组患者活化部分凝血活酶时间、凝血酶原时间、体外循环事件、术后24 h血浆输入量、留置气管导管时间、红细胞输入量、术中血浆输入量、术后24 h引流量及术后24 h红细胞输入量。结果：两组患者在体外循环时间、术后24 h血浆输入量及留置气管导管时间方面差异无统计学意义（P〉0.05）;研究组患者术中红细胞输入量、术中血浆输入量、术后24 h引流量、术后24 h红细胞输入量均小于对照组（P〈0.05）。两组患者术前的凝血酶原时间和活化部分凝血活酶时间差异无统计学意义（P〉0.05）;术后,研究组凝血酶原时间长于对照组,活化部分凝血活酶时间短于对照组,差异均有统计学意义（P〈0.05）。结论：对于手术治疗患者,采取血液回收器进行自体供血能有效减少围手术期用血量,有助于降低用血相关不良事件的发生率。Objective：To explore the effect of autologous blood collection device in reducing the amount of blood used in cardiac surgery. Methods：Selected 88 patients who underwent surgery in our hospital from September 2013 to February 2016 and randomly divided them into study group and control group. In the control group,negative pressure aspirator was used to pump blood back and then ＂machine remained blood＂ was transfused back to the patient. The study group used blood collection device to withdraw the surgical bleeding,and then after wash the blood was transfused to the patient again. The plasma thromboplastin time,prothrombin time,extracorporeal circulation,plasma input 24 hours after the operation,endotracheal tube time,erythrocyte infusion, intraoperative plasma input,postoperative drainage 24 hours after operation and red blood cell input 24 hours after the operation of the two groups were com-pared. Results：There was no significant difference between the two groups in the time of CPB,the plasma input 24 hours after the operation and the time of endotracheal tube catheterization（P ﹥ 0. 05）. The erythrocyte infusion,intraoperative plasma input ,drainage after 24 hours of operation and transfusion of red blood cells after 24 hours of operation in the study group were less than that of the control group（P 〈 0. 05）. The prothrombin time and activated partial thromboplastin time of the two groups were not statistically significant（P ﹥ 0. 05）. After operation,the prothrombin time in the study group was longer than that in the control group. The activated partial thromboplastin time in the study group was short than that of the control group. The difference was statistical-ly significant（P 〈 0. 05）. Conclusion：The autologous blood supply for patients by blood collection device can effectively reduce the blood consumption dur-ing perioperative period,which is helpful to reduce the incidence of blood - related adverse events.

关 键 词：手术 自体供血 血液回收器 

分 类 号：R472.3[医药卫生—护理学]