心脏外科术中自体血回输细菌污染问题的研究进展  

Research progress of bacterial contamination in autologous blood transfusion during cardiac surgery

作　　者：周晔农 杨晨 段维勋 杨秀玲 金振晓 Zhou Yenong;Yang Chen;Duan Weixun;Yang Xiuling;Jing Zhenxiao(Department of Cardiovascular Surgery,Xijing Hospital,Air Force Medical University,Shaanxi Xi'an 710032,China)

机构地区：[1]空军军医大学附属第一医院心外科,西安710032

出　　处：《中国体外循环杂志》2022年第4期253-256,共4页Chinese Journal of Extracorporeal Circulation

基　　金：陕西省重点课题(2019ZDLSF01-01-02);国家自然科学基金项目(51837011)。

摘　　要：相较于异体输血,自体输血能有效减少围手术期异体红细胞的输注量,降低并发症发生率,改善患者的预后。术中自体血洗涤回输是最常用的自体输血方法之一。但回收红细胞过程中有一定的细菌污染发生率,可能会影响患者的预后。本文回顾了回收红细胞细菌污染的发生率、造成污染的可能影响因素、回输红细胞对患者预后的影响等有争议的问题,以期为临床应用提供参考。Compared with allogeneic blood transfusion,autologous blood transfusion can effectively reduce the perioperative allogeneic red blood cell infusion,reduce the incidence of complications,and improve the prognosis of patients.Intraoperative cell sal⁃vage is one of the most commonly used methods of autologous blood transfusion.However,there is a certain incidence of bacterial con⁃tamination in the recycled red blood cells,which may affect the prognosis of patients.We reviewed the incidence of bacterial contami⁃nation of recycled red blood cells,the possible influencing factors of contamination,and the impact of transfusion of recycled red blood cells on the prognosis of patients in order to provide reference for clinical application.

关 键 词：自体血回收 自体输血 心脏手术 污染 术后感染 体外循环 

分 类 号：R457.1[医药卫生—治疗学]