原位肝移植的术中输血

Blood transfusion during orthotopic liver transplantation

目的 :总结原位肝移植术中输血的经验。方法 :分析 2 8例原位肝移植的临床资料及输血情况。结果 :2 8例肝移植受者术中输血总量平均为 (95 1 7± 76 80 )ml,其中 1例婴儿肝移植受者输血总量为 92 0ml,2例原位肝移植受者实施超大剂量输血 ,分别达 2 874 0ml,385 80ml;术前贫血或 /和血小板减少的肝移植受者术中输血并未增多。结论 :肝移植术前备血总量可控制在 5 0 0 0～ 1 0 0 0 0ml,应有应对超大剂量输血的措施 ;

Objective To summarize the experience of blood transfusion during orthotopic liver transplantation(OLT).Methods The clinic data and blood transfusion of 28 patients during OLT were analyzed.Results The total blood volume of transfusion was 9 517±7 680 ml averagely for the 28 patients in general during OLT, including that of an infant(920 ml), massive blood transfusion in 2 cases (28 740 ml and 38 580 ml respectively). The transfusion volume of patients with anemia or/and thrombcytopenia before the operation was not more than that of patients with normal blood routine.Conclusion In general,5 000～10 000 ml is reserved for receptor of OLT before the operation. We should take measures to deal with massive blood transfusion. The preparative blood volume for receptor of OLT can not depend on the result of blood routine.