贮存式自身输血在臂丛神经损伤手术的应用

Application of Storage Autologous Blood Transfusion in Brachial Plexus Injur Surgery

探讨贮存式自身输血在臂丛神经损伤手术中应用的可行性。用60例臂丛神经损伤患者采用贮存式自身输血,对采血前、后血常规的变化结果进行分析。对术前和术后血常规、生化、电解质、凝血检测的变化结果进行分析。患者采血后1 d血常规中红细胞计数(RBC)、血红蛋白(HB)、血细胞压积(HCT)较采血前均有明显降低(P<0.05),但均在正常范围内;手术后1 d患者的RBC、HB和血小板计数(PLT)较手术前1 d均有明显降低(P<0.05),但均在正常范围内;患者的电解质、生化及凝血指标较手术前1 d相比,无显著变化(P>0.05)。说明贮存式自身输血安全、简单、有效,在臂丛神经损伤手术中推广应用具有重要的临床意义。

To study the feasibility of applying storage autologous transfusion in brachial plexus injur surgery,Sixty patients with brachial plexus injur undergoing selective surgery adopted autologous blood storage and transfusion.The changes of blood routine examination before and after blood collection were analyze,The changes of blood routine examination,biochemistry examination,electrolyte examination and blood coagulation examination before and after surgery are presented.A day after blood collection,the patients＇ RBC,HCT and Hb were decreased significantly than before（P 〈0.05）,and but were still within normal range.A day after surgery,the patients＇ RBC,Hb and PLT were decreased significantly than before （P 〈 0,05）,and but were still within normal range.There were no significant difference between the patients＇ biochemistry examination,electrolyte examination and blood coagulation examination before and after surgery （P 〉 0.05）.It is conclused that storage autologous blood transfusion is safe,simple,affordable and worth to promote and use among patients undergoing brachial plexus injur surgery.