狭颅症患儿不同术式术中出血和输血情况比较分析

Bleeding and blood transfusion during different craniotomies in children with craniostenosis

目的：总结狭颅症患儿不同术式手术中出血和输血的情况，以提高手术配合质量，减少相关并发症的发生，保证患儿安全。方法回顾性分析24例狭颅症患儿分别行单纯颅缝再造与颅腔重塑时术中出血、输血和相关并发症发生的情况。结果颅腔重塑术失血量和输血量明显多于单纯颅缝再造术，输血相关并发症也相应增加，差异均有统计学意义（P ＜0．05）。结论狭颅症输血患儿需密切观察生命体征，做好术中输血的护理，确保输血与手术安全，减少并发症。

Objective To conclude the situation of bleeding and blood transfusion during different craniotomy in children with craniostenosis,in order to improve the quality of surgery cooperation and reduce the occurrence of related complications.Methods The study retrospectively analyzed the blee ding and blood transfusion situation during the operation and the occurrence of related complications for 24 children with craniostenosis.The participants received either cranial suture reconstruction or cranial cavity remodeling. Results Cranial cavityremodeling resulted in a higher amount of bleeding and transfusion compared with suture of skull,as well as increased complications of blood transfusion（P 〈0.05）.Conclusions The observation of the vital signs and nursing care during operation should be paid more attention to in order to ensure the safety of the surgery and reduce the related complications for craniostenosis children.