血液回收机在脊柱手术中应用的研究进展  

Research progress on the application of blood recovery machine in spinal surgery

作　　者：冉伟鹏 王蒙 秦忠堂 李宏键 RAN Wei-peng;WANG Meng;QIN Zhong-tang;LI Hong-jian(The First Clinical Medical College,Yunnan University of Chinese Medicine,Yunnan Province,Kunming 650051,China;Department of Orthopedics,the First People′s Hospital of Yunnan Province,Kunming University of Science and Technology,Yunnan Province,Kunming 650032,China;The First Department of Orthopedics,People′s Hospital of Yanshan County in Wenshan Prefecture,Yunnan Province,Yanshan 663100,China)

机构地区：[1]云南中医药大学第一临床医学院,云南昆明650051 [2]昆明理工大学附属云南省第一人民医院骨科,云南昆明650032 [3]云南省文山州砚山县人民医院骨一科,云南砚山663100

出　　处：《中国当代医药》2021年第15期38-42,共5页China Modern Medicine

基　　金：国家自然科学基金资助项目(62063034)。

摘　　要：脊柱手术尤其是脊柱前路减压术、脊柱多节段矫形及脊柱后路内固定手术在各手术当中出血量较多。失血量成为制约复杂脊柱手术技术水平发展的重要因素。术中失血过多可危及患者的围术期安全。同时异体输血也产生了感染风险、输血并发症,存在取血困难、价格昂贵等问题。异体血也对患者凝血、免疫、血流动力学、预后及功能恢复方面产生影响。目前血液回收技术主要以血液回收机为代表在骨科脊柱手术中广泛应用。针对同种异体输血较多弊端,自体血液回收-回输技术的开展及术中使用血液回收机缓解了目前血源紧张,具备高效利用术中自体清洁血液、节省输血费用、保证患者用血安全、促进术后恢复等优势,具有一定经济效益和临床价值。Massive blood loss has always been found in spinal surgery,especially in anterior decompression,multi-segmental correction and posterior internal fixation.The amount of bleeding has become an important factor restricting the development of surgical techniques with complicated procedures of massive intraoperative hemorrhage.Perioperative safety of patients will be periled by the excessive intraoperative blood loss.Meanwhile,allogeneic blood transfusion also has the risk of infection,blood-transfusion complications,difficulty in blood collection,high price and so on.And allogeneic blood affects coagulation,immunity,hemodynamics,prognosis and functional recovery of patients.Recently,blood recovery technology is mainly represented by blood recovery machine,which is widely used in orthopedic spine surgery.Averting the disadvantages of allogeneic blood transfusion,the development of autologous blood recovery and transfusion technology and the use of blood recovery machine in operation can alleviate the pressure of current blood shortage,make efficient use of intraoperative clean blood,decrease blood transfusion costs,ensure the safety of blood transfusion of patients,and promote the recovery with definitely economic benefits and clinical value.

关 键 词：脊柱手术 血液回收机 自体血液回收技术 临床疗效 血液管理 

分 类 号：R714.22[医药卫生—妇产科学]