自体输血在泌尿外科择期手术中的应用观察

Application of autologous blood transfusion in urological selective operation

目的:探讨自体输血在泌尿外科择期手术中的应用效果。方法:对本院2010年以来35例泌尿外科择期手术患者进行自体输血的应用情况进行回顾性分析。分析患者采集血液前、后及输入自体血后的血常规变化情况,探讨自体输血的临床应用效果。结果:贮存式自体输血患者采血后比采血前,手术后比手术前的HCT、Hb、PLT有下降,但均维持在较高的水平(Hb 110g/L、HCT 30%、PLT 150×109/L);稀释式自体输血,血液稀释前后,HCT、Hb、PLT虽有降低,但自体血回输后基本恢复至正常范围。因此不会造成组织缺氧和凝血功能障碍。结论:自体输血应用于泌尿外科择期手术中安全、有效、可行。

Objective：To study the effect of autologous blood transfusion in the urological selective operation. Method：The application of autologous blood transfusion in 35 cases undergoing operation in department of urology patients in our hospital since 2010 were analyzed retrospectively. The changes of blood routine test before and after blood collection, after autologous blood transfusion were analyzed. The clinical application of autologous blood transfusion was studied. Result： For predeposit autotransfusion patients, HCT, Hb and PLT decreased after blood collection and after operation when compared to that of before blood collection and before operation,respectively, but they were all maintained at a high level （Hb 110 g/L,HCT 30% ,PLT 150×10^9/L）. For hemodilution autohe-motransfusion patients, HCT, Hb and PLT decreased after hemodilution, but they all returned to normal range after autologous blood transfusion. Conclusion：The application of autologous blood transfusion used in urological se- lective operation would be safe, effective and feasible.