自体输血在外伤性肝脾破裂手术中的应用

Intraoperative autotransfusion in patients with hepatic and splenic injuries

目的 :探讨外伤性肝脾破裂采用自体输血装置进行术中自体输血 (IAT )的可行性和安全性。方法 :1997年 2月至 2 0 0 0年 6月 5 1例外伤性肝脾破裂采用HaemocellSystem 35 0装置进行IAT。结果 :3例因重度休克死于术中 ,其余 48例均康复出院。自体输血量 885 75ml (82 % ) ,异体输血量 195 0 0ml (18% )。 2 4例未输异体血。 2例出现一过性血红蛋白尿 ,无其它并发症。结论 :应用该装置进行IAT安全有效 ,可节约血源 ,减少异体输血量 。

Objective:To evaluate the practicability and safety of intraoperative autotransfusion (IAT)with Haemocell System 350 cell saver in the patients with hepatic and splenic injuries.Methods:From February 1997 to June 2000, IAT with the device was performed in 51 patients with hepatic and splenic injuries.Results:3 patients were died of severe hypovolemic shock during operation. 48 patients recovered uneventfully. 51 patients received 88 575 ml (82%) autologous blood and 27 received 19 500 ml (18%) allogenic blood. 2 patients experienced transient hemoglobinuria, no other complications were discovered.Conclusion:IAT with the device is safe and effective to decrease the use of allogenic blood and avoid the complications of its transfusion.