血液回收机在急诊大出血手术中的临床应用观察

Clinical observation of usage of ZITI-2000 Autologous Blood Recovery System in emergency bleeding surgery

目的观察ZITI-2000型血液回收机在急诊大出血手术的临床应用效果。方法用ZITI-2000型血液回收机对45例患者进行外科大出血手术中自体血液回输。同时监测患者生命体征(SBP、DBP、MAP、SpO2、CVP)的变化,并对患者术前血,术中回收血,术后静脉血进行血常规及血液生化检验。结果45例大出血患者回输血液后的生命体征与术前和回输前比较有明显的改善,并抢救成功,平均每例回收原血1 768 ml,经血液回收机处理后获得浓缩血平均每例687 ml,均输给患者。术后血常规、多项生化检查及血浆电解质检查结果均达到正常水平。除1例患者术后死于多脏器功能衰竭(MODS),其余患者术后恢复良好。结论ZITI-2000型血液回收机能有效减少术中血液的丢失,减少输血后并发症。

Objective To observe the effect of intraoperative autologius blood transfusion by using ZITI-2000 Autologous Blood Recovery System in emergency bleeding surgery. Methods Intraoperative autologous blood transfusion was performed in 45 patients subjected to surgery using ZITI2000 Autologous Blood Recovery System. SBP,DBP,MAP,SpO2 and CVP were monitored, routine and biochemical blood tests were examined for the blood samples taken before, after and during the operation. Results Important signs had greatly improved for 45 patients with bleeding surgery after intraoperative autologius blood transfusion. The mean volume of 1 768 ml blood was collected from each patient during operation and 687ml concentrated blood cells were got after processed with ZITI- 2000 Autologous Becovery System in 45 patients. These blood cells were reinfused into the patents during operation. Routine blood tests, biochemical blood tests and serum＇electrolyte test were normal after operation. All patients recovered very smoothly except one patient who died of MODS. Conclusion ZITI-2000 Autologous Blood Recovery System is very useful and efficacious for decrease loss of blood during operation and complications of homologus blood trasfusion.