自体输血在肾上腺嗜铬细胞瘤术中的应用价值探讨

Application Value Study on Autologous Blood Transfusion in the Treatment of Adrenal Pheochromocytoma

目的探讨血液回收技术在肾上腺嗜铬细胞瘤术中应用价值。方法整群选取该院于2008年2月—2014年6月收治的38例患者择期行嗜铬细胞瘤手术,分为A、B两组,自体血回收组采用血液回收仪回收术野失血,对照组不回收失血,分别采集手术前、手术术毕、手术术后24 h、手术术后3 d的静脉血,测定红细胞计数(RBC)、红细胞压积(Hct)、血红蛋白(Hb)、血小板计数(Pt)、出血时间(BT)、凝血时间(CT)、凝血酶原时间(PT)。结果两组病人异体血输血量差异有统计学意义(P<0.01),血红蛋白、红细胞计数术后24 h高于对照组(P<0.05),两组红细胞压积(Hct)及血小板计数(Pt)在各测定时点差异无统计学意义(P>0.05)。结论采用自体输血技术在肾上腺嗜铬细胞瘤瘤术中能明显减少异体血用量、安全可靠且并发症少。

Objective observe the application value of blood salvage technique in the treatment of adrenal pheochromocy-toma. Methods 38 cases of patients from February 2008 to June 2014 in our hospital for elective pheochromocytoma surgery were divided into group A and group B, the autologous blood collection group recycled surgical field hemorrhage by blood collection instrument and the control group did not recycle hemorrhage, preoperative, postoperative, postoperative 24 h and postoperative 3 d venous blood were respectively collected, red blood cell count （RBC）, red blood cell volume （Hct）, hemoglobin （Hb）, platelet count （Pt）, bleeding time （BT）, clotting time （CT） and prothrombin time （PT） were determined. Results Allogeneic blood transfusion of the two groups was significantly different （P〈0.01）,hemoglobin and red blood cell count of postoperative 24 h in the autologous blood collection group were higher than the control group （P〈0.05）, red blood cell volume （Hct） and platelet count （Pt） between the two groups at different determination times were not significantly dif-ferent（P〉0.05）. Conclusion The use of autologous blood transfusion technology in the treatment of adrenal pheochromocy-toma can significantly reduce the amount of allogeneic blood, which is safe and reliable and has few complications.