异位妊娠失血性休克自体血回输后出现溶血1例  

Hemolysis caused by autologous blood transfusion in ectopic pregnancy patient with hemorrhagic shock:a case report

作　　者：李小林[1] 翟玉美[2] 于洪丽[3] 瞿全新[1] Li Xiaolin;Zhai Yumei;Yu Hongli;Qu Quanxin(Department of Gynecology,Tianjin First Central Hospital,Tianjin 300192,China;Department of Reproductive Medicine,Tianjin First Central Hospital,Tianjin 300192,China;Department of Anesthesiology,Tianjin First Central Hospital,Tianjin 300192,China)

机构地区：[1]天津市第一中心医院妇科,天津300192 [2]天津市第一中心医院生殖医学科,天津300192 [3]天津市第一中心医院麻醉科,天津300192

出　　处：《中国综合临床》2022年第2期160-163,共4页Clinical Medicine of China

摘　　要：异位妊娠是妇科常见急腹症,一旦妊娠组织破裂将迅速发展为失血性休克甚至死亡。近年来自体血回输广泛用于异位妊娠腹腔内出血的抢救,能减少交叉配血及取血的时间、减少输注异体血带来的风险,使失血性休克患者得到及时有效的治疗。自体血回输引起的溶血罕见报道,一旦发生溶血,如不及时处置严重者可发生急性肾损伤、高钾血症,或致心脏骤停甚至猝死。我们回顾性地分析1例自体血回输后出现溶血患者的诊治过程,提示输血不良反应不仅发生在异体输血,也会发生在自体血回输中。临床工作中宜合理处置,以减少类似并发症的发生。Ectopic pregnancy is a common gynecological acute abdomen disease.Once the pregnant tissue is ruptured,it will rapidly develop into hemorrhagic shock or even death.In recent years,blood transfusion from the body is widely used in the rescue of intra-abdominal hemorrhage of ectopic pregnancy,which can reduce the time of cross matching and blood collection,reduce the risk of allogeneic blood transfusion,and enable patients with hemorrhagic shock to receive timely and effective treatment.Hemolysis caused by autologous blood transfusion is rarely reported.Once hemolysis occurs,if it is not handled in time,severe cases can occur acute renal injury,hyperkalemia,or cardiac arrest or even sudden death.We retrospectively analyzed the diagnosis and treatment of a patient with hemolysis after autologous blood transfusion,suggesting that the adverse reactions of blood transfusion occur not only in allogeneic blood transfusion,but also in autologous blood transfusion.It should be handled reasonably in clinical work to reduce the occurrence of similar complications.

关 键 词：异位妊娠 失血性休克 自体血回输 溶血 高钾血症 

分 类 号：R714.22[医药卫生—妇产科学]