回收式自体输血在腹部大出血术中的临床应用

Clinical application of autologous transfusion salvage during abdominal hematorrhea surgery

目的:探讨回收式自体输血的安全性和效果。方法:将回收式自体输血技术应用于腹部大出血手术的临床实践中,观察回收血液后患者的重要功能指标变化情况,包括外周血红细胞、血红蛋白、血细胞比容、血小板数、凝血酶原时间、活化部分凝血活酶时间、纤维蛋白原和肝功能指标丙氨酸氨基转移酶、碱性磷酸酶、肾功能指标尿素氮、尿酸、肌酐及不良反应。结果:血液各项指标和肝肾功能正常,主要成分指标差异无统计学意义,不良反应少。结论:回收式自体输血操作简单方便,经血液回收机处理后的自体血安全可靠,有一定的临床推广价值。

Objective：To study the safety and effects of autologous transfusion salvage.Method：Autologous transfusion salvage was used in the massive abdominal hematorrhea surgery,and the features of important signs of the patients were observed after blood autotransfusion,including red blood cell（RBC）,hemoglobin（Hb）,hematocrit（Hct）,platelet count （Plt）,prothrombin time（PT）,activated partial thromboplastin time（APTT）,fibrinogen（Fg）and alanine aminotransferase（ALT）,alkaline Phosphatase（ALP）,blood urea nitrogen（BUN）,uric acid（UA）,creatinine（Cr）as well as adverse reactions.Result：Every indicator of blood as well as hepatic and renal function was normal,the key indicators before and after blood autotransfusion were not significantly different,and the adverse reactions during operation and recovery time were rare.Conclusion：The application of autologous transfusion salvage could be simple and convenient,as well as safe and effective,which would deserve clinical expansion.