259例贮存式自身输血在妇科患者中的应用分析

The Application of Predeposit Autotransfusion in 259 Cases of Gynecological Patients

目的探讨贮存式自身输血在妇科患者中的临床应用。方法对2013年1月～2014年11月本院259例妇科行贮存式自身输血患者的情况进行统计分析。结果259例患者除9例在采血时分别出现轻度恶心、肌肉痉挛、采血后皮下血肿外，其余无不良反应发生（不良反应发生率3．47％），每次采血200～400ml，共采集血液98600ml。13例患者因故自体血液未能回输而报废（3600m1），其余均顺利回输，回输率94．98％（246／259），回输过程无不良反应发生，节约异体血液95000ml。与采血前相比采血后患者Hb值、HCT值均在手术可接受范围内（P〉0．05）。结论贮存式自身输血易于开展，能节约宝贵的血液资源，减少同种异体血液的使用，提高输血安全性，缓解血源供应紧张等问题，在妇科患者应用中相对安全，具有一定的临床应用价值。

Objective To investigate the clinical application of predeposit autotransfusion in gynecological patients. Method Making analyses of 259 cases of patients with gynecological diseases who were applied with predeposit autotransfusion in our hospital from January 2013 to November 2014. Result 259 cases of patients, except for 9 cases who were mild nausea, muscle cramps, and subcutaneous hematoma after blood collection, the rest had no adverse reactions （incidence of adverse reactions 3.47%）, 200 ml-400 ml blood were collected each time and totally 98 600 ml. Thirteen patients failed to receive the autologous blood transfusion （3 600 ml wasted）, the rest were successfully transfused, with a transfusion rate of 94.98%（246/259）. No adverse events happened, and 95000 ml of allogeneic blood were saved. Compared with that before blood collection, Hb and Hct values of the blood after collection fell into the acceptable range （P〉 0.05）. Conclusion Predeposit autotransfusion is easy to carry out and is effective in saving precious blood resources, reducing the use of allogeneic blood to improve transfusion safety, ease the pressure of blood supplement and other issues. The gynecological patients are as well relatively safe. This method shows its clinical value.