异位妊娠自体血液回输48例临床分析

Clinical analysis on the results of the intraoperative autologous blood transfusion of 48 cases with ectopic pregnancy

目的探讨异位妊娠腹腔内出血实行自体血液回输的安全性和可行性。方法2005年1月至2008年12月，对48例异位妊娠伴有腹腔内出血实行自体血液回输，共回输40800ml血液。观察输血时生命体征情况，术后第1天、第5天取静脉血复查血常规，分析手术前后血红蛋白（hemoglobin，Hb）变化情况。结果48例患者无一例发生凝血功能障碍，无一例发生输血反应及切口感染，术后复查血常规Hb均在6s／L以上，无再输血。结论异位妊娠腹腔内出血实行自体血液回输是安全的、可行的。

Objective To study the safety and feasibility of the intraoperative autologous blood transfusion for the pregnant women with ectopic pregnancy. Methods From Jan. 2005 to Dec. 2008, 48 cases with ectopic pregnancy and intra - abdominal hemorrhage were received intraoperative autologous blood transfusion and vital signs were monitored. Blood routine examination was carried on the first and fifth days after the operation. Then the situation and change of hemoglobin（Hb） was analyzed before and after the operation. Results There was no coagulation disorders, transfusion reaction and no incision infection. Conclusion It was safe and feasible of intraoperative autologous blood transfusion for the pregnant women with ectopic pregnancy and intra - abdominal hemorrhage.