洗涤式自体血回输在肝脾破裂手术中的应用

目的探讨自体血液回输技术在肝脾破裂手术中的应用。方法在23例肝脾破裂手术中采用自体血液回收机将术野出血回收,经抗凝、滤过、清洗、浓缩后回输。测定术前静脉血、术中回收血、术后静脉血,进行血常规、血液生化和血浆电解质检查。结果23例患者术后顺利康复,术后血常规、多项血生化及血浆电解质检查结果变化不明显。结论自体血液回输技术安全有效,可节约血源,减少异体输血量,避免并发症。

Objective To investigate the efficacy of intraoperative autotransfusion(IAT) with hepatic and splenic injuries. Methods IAT with the device was performed in 23 patients with hepatic and splenic injuries. The shed blood was collected, anticoagulated, filtrated, centrifugalized and washed,then transfused back in patients with blood savers. Blood routine, biochemical and plasmic electrolytes were examined in preoperative and postoperative venous blood and intraoperative collected blood. Results 23 patients recovered uneventfully. There are no change in these tests between preoperative and postoperative. Conclusion IAT with the device was safe and effective, can decrease the use of allogenic blood and avoid the blood transfusion complication.