基于专家共识的术中回收式自体输血的临床应用研究  

Expert consensus-based clinical application of salvaged autologous blood transfusion

作　　者：陈少如 支慧 张红梅 王婕 张加强 Chen Shaoru;Zhi Hui;Zhang Hongmei;Wang Jie;Zhang Jiaqiang(Department of Anesthesia and perioperative Medicine,(Henan Provincial Key Medicine Laboratory of Nursing,Zhengzhou University People's Hospital,Henan University People’s Hospital),Zhengzhou 450003,China;Department of Nursing.Henan Provincial People’s Hospital,(Henan Provincial Key Medicine Laboratory of Nursing,Zhengzhou University People's Hospital,Henan University People’s Hospital),Zhengzhou 450003,China)

机构地区：[1]河南省人民医院(河南省护理医学重点实验室,郑州大学人民医院,河南大学人民医院)麻醉与围术期医学科,郑州450003 [2]河南省人民医院(河南省护理医学重点实验室,郑州大学人民医院,河南大学人民医院)护理部,郑州450003

出　　处：《河南外科学杂志》2024年第5期15-18,共4页Henan Journal of Surgery

基　　金：河南省医学教育研究项目(WJLX2024002);河南省人民医院“23456”护理人才工程。

摘　　要：目的分析术中回收式自体输血的临床应用现状,依据专家共识建立回收式自体输血的操作流程。方法选取2020-01—2024-01在某三级甲等医院择期行外科手术的患者2220例。其中1521例采用自体血,699例术中预备自体血,但未进行血液回输。结果研究期间回收血液总量为756962 mL。骨科手术患者使用回收式自体输血最多,总量达451296 mL。其次为脑血管疾病手术、血管瘤手术等。在未进行洗血回输的科室中,脑血管疾病占比最多,达49.21%。结论回收式自体输血可显著减少异体血的使用比例和使用量,保障患者安全,具有较好的临床价值。依据专家共识建立的回收式自体输血流程可进一步规范相关技术操作。Objective To analyze the current status of clinical application of intraoperative recovered autologous blood transfusion,and to establish the operation procedure of recovered autologous blood transfusion based on expert consensus.Methods Totally 2220 patients who underwent elective surgery from January 2020 to January 2024 in our hospital were selected.1521 of them used autologous blood;the other 699 patients had intraoperative preparation of autologous blood.Autologous blood was used in 1521 of these cases;in the other 699 patients,autologous blood was prepared intraoperatively,but no blood was recovered.Results The total amount of blood recovered during the study period was 756,962 mL;orthopedic surgical patients used recovered autologous blood transfusion the most,with the total amount of blood recovered reaching 451,296 ml,followed by cerebrovascular disease surgeries,hemangioma surgeries,and so on.Cerebrovascular disease accounted for the largest proportion of departments that did not perform washed blood transfusion,amounting to 49.21%.Conclusion Salvaged-blood autologous transfusion can significantly reduce the proportion and use of allogeneic blood,guarantee patient safety,and has good clinical value.The salvaged-blood autologous transfusion process established according to the expert consensus can further standardize the relevant technical operation.

关 键 词：回收式自体输血 专家共识 临床路径 

分 类 号：R457[医药卫生—治疗学]