剖宫产术中回收式自体输血的回顾性分析

A restrospective analysis of intraoperative cell salvage during cesarean delivery

本院从2011年5月至2016年4月实施剖宫产术中回收式自体输血（IOCS）：术中术野回收血量≥800 ml，产妇出血后Hb≤100 g/L时进行自体血离心、浓缩、洗涤、白细胞滤器过滤后回输。5年内剖宫产术中实施IOCS 1 085例。对于实施IOCS的产妇，异体红细胞免除率82.95%（900例），血浆使用率41.66%（452例），血小板使用率3.32%（36例），术中和住院期间均未见自体输血相关不良反应发生。综上所述，IOCS可安全有效地用于剖宫产术中血液保护。

Intraoperative cell salvage（IOCS）was conducted during cesarean delivery from May 2011 to April 2016 in our hospital： when the volume of autologous blood collected from the surgical field ≥ 800 ml during surgery and the parturients′ hemoglobin≤100 g/L after hemorrhage, the autologous blood was centrifuged, concentrated, washed and then filtered using a leucocyte depletion filter before reinfusion.IOCS was carried out in 1 085 cases during cesarean delivery within 5 yr.For the parturients who underwent IOCS, the percentage of patients who did not require transfusion of allogeneic red blood cells was 82.95%（900 cases）, the percentage of patients who required plasma transfusion was 41.66%（452 cases）, the percentage of patients who required platelet transfusion was 3.32%（36 cases）, and no autologous blood transfusion-related adverse reactions were found during surgery and hospital stay.In conclusion, IOCS could be safely and effectively used for blood-saving effect in cesarean delivery.