自体血液回输在骨科和脑外科手术中的应用  

Application of Autologous Bloodin Orthopedics and Brain Surgery

作　　者：朱斌[1] 任学武[1] 

机构地区：[1]上高县人民医院麻醉科,江西宜春336400

出　　处：《宜春学院学报》2017年第12期72-73,共2页Journal of Yichun University

摘　　要：目的:采用自体血液回输,为骨科和脑外科手术提供一种安全、经济、实用的血液保护技术。方法:选择2016年10月至2017年10月间23例骨科患者和15例脑外科患者采用京精3000P血液回输机进行自体血液回输,然后将患者手术前和手术后凝血酶原时间(PT)、血红蛋白(HB)、活化部分凝血活酶时间(APTT)、红细胞压积(HCT)、血小板(PLT)等进行分析。结果:38例患者术中出血总量45600m L,自体血回输27650m L,38例患者都没有出现任何输血不良反应,所有患者手术后第1天和手术后1周未出现明显凝血功能的变化(P>0.05)。结论:回收式自体血液回输可有效减少骨科和脑外科大手术中血液丢失,减少输注异体血,自体血回输后未对患者凝血功能产生影响,是一种安全、经济、实用的血液保护技术。Objective: To provide a safe,economical and practical blood protection technique for orthopedics and brain surgery by antilogous blood transfusion. Methods: 23 orthopedic patients and 15 patients with brain surgery from October 2016 to October 2017 were selected to carry out antilogous blood transfusion by 3000 P blood transfusion machine. Before and after operation,prothrombin time( PT),hemoglobin( HB) and activated partial coagulation activity( APTT) were then treated. Hematocrit( HCT),platelet( PLT) and so on. Results: The total amount of intraoperative hemorrhage in 38 patients was 45600 m L,the autologous blood transfusion was 27650 m L,and 38 patients had no any adverse reaction and no significant changes in blood coagulation were found on the first day after operation and 1 week after operation. Conclusion: Recovery-type autologous blood transfusion can effectively reduce blood loss in orthopedic and brain surgery,reduce transfusion of allergenic blood,and cann't affect coagulation function after autologous blood transfusion; it is a safe,economical and practical blood protection technology.

关 键 词：骨科手术 脑外科手术 自体血液回输 

分 类 号：R614.1[医药卫生—麻醉学]