自体输血在常规开胸手术中的应用  

Application of Autologous Blood Transfusion During Perioperative Period in Routine Chest Surgery

作　　者：盛斌[1] 周新民[1] 龙建平[2] 熊卫民[2] 付金海[2] 汪更胜[2] 

机构地区：[1]中南大学湘雅二医院,湖南长沙410011 [2]中国人民解放军第163医院,湖南长沙410003

出　　处：《医学临床研究》2003年第1期18-20,共3页Journal of Clinical Research

摘　　要：目的探讨围手术期不输异体血完成常规开胸手术的可行性。方法1998年 1月至 2 0 0 2年 10月行常规开胸手术 4 98例 ,将其分为两组。围手术期输异体血组 (A组 ) (1998年 1月至 1999年 12月 )患者2 4 4例 ;输自体血组 (B组 ) :(2 0 0 0年 1月至 2 0 0 2年 10月 ) 2 5 4例 ,比较两组相关指标。结果A组与B组比较 ,手术前后外周血血红蛋白 ,红细胞比容 ,血小板计数 ,出、凝血时间和术后并发症的发生率以及术中动脉血氧含量均无差异 (P >0 .0 5 )。术中丢失的红细胞、术后胸腔引流量 ,A组大于B组 (P <0 .0 5 )。结论常规开胸手术存在不输异体血的可能性 。ObjectivesTo investigate the feasibility of routine chest surgery without homologous blood transfusion during perioperative period. MethodsFrom Jan., 1998 to Oct., 2002, the routine open chest operations were performed in 498 cases. These patients were divided into two groups: ①Group A homologous blood transfusion (n244,from Jan., 1998 to Dec.,1999) and ②Group B autotransfusion (n=254,from Jan .,2000 to Oct.,2002). The related data between two groups were compared . Results When the peripheral blood contents of hemoglobin, the hematocrit (Hct), blood platelet count and the coagulation and bleeding time in group A were compared with those in group B before and after operation, no any difference was shown; the rate of postoperative complication and oxygen contents in arterial blood between both groups also showed no difference (P=0.05). In group A, the amount of RBC loss during operation and the quantity of thoracic drainage after operation obviously exceeded those in group B (P<0.05). ConclusionIt is feasible to perform routine open chest operations without homologous blood transfusion during perioperative period, this measure does not affect the quality and safety of operation.

关 键 词：胸廓切开术 自体输血 围手术期 

分 类 号：R457.1[医药卫生—治疗学] R655[医药卫生—临床医学]