心内直视术采自体血体外循环管理及临床应用

The Clinical Application and Management of Predeposited Autologous Blood in Open-Heart Surgery Under Cardiopulmonary Bypass

目的 心内直视手术术前采自体血 (PAD)组、转机前放血组与常规用血组对比。方法 心内直视术 1 0 0例 ,6 0例于术前采自体血 (PAD) 2 0 0 1 2 0 0ml,4 0例于转机前放血 30 0 1 0 0 0ml,与常规用血组 1 0 0例进行比较。结果 术前PAD6 0例有 32例未使用库血 ,占术前PAD5 3.3%,转前放血 4 0例有 1 0例未用库血 ,占转前放血 2 5 %。常规用血组 1 0 0例均使用库血 ,术前PAD与转前放血均优于常规用血组 ,术前PAD组优于转前放血组。结论 PAD组与常规用血组比 ,其优点 :(1 )节省血源。 (2 )减少输异体血引起的并发症。 (3)减轻了患者的经济负担。是心内直视术理想的用血选择。

OBJECTIVE To observe amount of bank blood used in open-heart surgery during cardiopulmonary bypass. METHODS 200 patients with congenital heart disease 25-75kg, were divided into three groups. In 60 cases 200 -1200 ml of autologous blood was deposited before CPB and the predeposited autologous blood (PAD) was used during the operation. In 40 cases 300 - 1000ml of autologous blood was deposited before CPB and the predeposited autologous blood used during operation. The remaining 100 patients were transfused with bank blood.RESULTS 32 cases were not transfused with bank blood in PAD group,10 cases didn't infusion banked blood in PAD before CPB(p<0.005).CONCLUSION PAD before operation is the best methods. It can not only solve the shortage of blood source, but also avoid disease spreading, and decrease patient's expense.