29例稀有血型孕产妇预存式自体输血合理性分析

29 cases were rare blood type maternal type deposit of autologous blood transfusion rationality analysis

目的调查我院2014-2017年上半年我院29例RH(D)阴性孕产妇应用预存式自体输血病例,观察生产前后的血常规指标,评估预存式自体输血病例的特殊性。方法查阅自2014年10月-2017年6月入院应用预存式自体输血的29例孕产妇的病历,分析采血前后、输血前后、分娩前后的血红蛋白(Hb)、血细胞比容(Hct)、血小板计数(PLT)的变化。并调查29份异体输血孕产妇病例,对比自体输血和异体输血的合理性和输血反应发生率。结果通过对29例孕产妇采血前后、输血前后、分娩前后的血红蛋白(Hb)、血细胞比容(Hct)、血小板计数(PLT)进行比较,显示采血前后所检验项目变化差异无统计学意义(P>0.05),且自体输血无输血不良反应发生。结论通过对病例中的输血前后血常规指标的对比,发现孕产妇应用预存式自体输血,对分娩无显著影响,且能避免异体输血带来的输血风险,减少因RH(D)阴性血液稀少而造成的用血困难,提高输血安全性,且无输血不良反应发生,更适应开展。

Objective Refer to since October 2014-June 2017 admission application type deposit of autologous blood transfusion of 29 cases of maternal, before and after the analysis of blood, blood transfusion, before and after childbirth before and after the hemoglobin （Hb）,hematocrit （Hct）,the change of platelet count （PLT）. Comparison and investigation of 29 cases of maternal blood transfusion, autologous blood transfusion and the rationality of allogeneic blood transfusion and transfusion reaction rate. Methods Collected from October 2014- June 2017 admission application be- fore delivery of 29 cases of maternal blood before and after storage type of autologous blood transfusion and transfusion before and after the hemoglobin （Hb）, hematocrit （Hct）, platelet count （PLT）. Results By 29 cases of maternal blood,blood transfusion before and after before and after the hemoglobin （Hb）, hematocrit （Hct）, platelet count （PLT） ,according to change difference no statistical significance （P〉0.05）. Conclusion Through to the cases of trans- fusion of blood routine indexes before and after comparison, found that maternal application type deposit of autologous blood transfusion, had no significant effect of childbirth,and can avoid the allogeneic blood transfusion of blood transfusion risk, reduce RH （D） negative blood caused by blood are difficult,improve the safety of blood transfusion, and type of autologous blood transfusion is easy to be deposited, think rare blood type of maternal adaptation to carry out the deposit type of autologous blood transfusion.