稀释式自身输血在头颈癌手术治疗中的应用

DILUTED AUTOTRANSFUSION IN THE SURGICAL TREATMENT OF HEAD AND NECK CANCER

①目的 探讨稀释式自身输血技术在头颈癌手术中的应用及其意义。②方法 对 46例头颈癌病人采用稀释式自身输血 ,仅在术中失血过多时 ,再输入适量异体血 ;选病情及手术方法与实验组一致的头颈癌病人 46例作为对照组 ,不采用稀释式自身输血 ,有输血指征时输入异体血。③结果 实验组中仅 14例需输入异体血 ,而对照组 46例中 2 9例需输入异体血 ,差异有极显著意义 (χ2 =9.82 ,P <0 .0 1)。两组均无术中并发症 ,术后并发症差异无显著性 (χ2 =0 .12 ,P >0 .0 5 )。④结论 稀释式自身输血可使许多需手术治疗的头颈癌病人避免异体输血。

Objective\ To study the application and clinical significance of diluted autotransfusion in the surgical treatment of head and neck cancer. \ Methods\ Diluted autotransfusion was adopted in 46 patients with head and neck cancer during operation as the experimental group, and the transfusion of donors blood was adopted only in patients with excessive blood loss. The other 46 patients with the same disease and operation were served as the control group, without autotransfusion and a donors blood was transfused only in case of need. \ Results\ Transfusion of donors blood was necessary only in 14 patients in the experimental group, and 29 patients of the control group needed transfusion of donors blood( χ 2=9.82, P <0.01). There were no complications during the operations , and the postoperative complications were not significant ( χ 2=0.12, P >0.05). \ Conclusion\ The application of diluted autotransfusion may be of help to many patients with head and neck cancer to avoid transfusion of donors blood during operation. [