研究自体血回输在外伤性脾破裂手术中的临床应用价值

Clinical Value of Autologous Blood Transfusion in Traumatic Splenic Rupture

目的分析自体血回输在外伤性脾破裂手术中的临床应用价值。方法方便选取2012年2月—2017年2月收治的50例外伤性脾破裂手术患者,在其手术过程中对其进行自体血回输治疗,研究其治疗效果。结果 50例患者在手术过程中的总失血量为534 500 m L,自体回输血量为32 600 m L,平均自体回输血量为720 m L,最多自体回输血量为1 700 m L,最少自体回输血量为400 m L;手术前,患者APTT为(35.42±3.56)s,手术后为(36.01±4.12)s,对比差异无统计学意义(t=0.766 2,P=0.445 4)。手术前,患者PT为(12.45±0.81)s,手术后为(12.58±1.02)s,对比差异无统计学意义(t=0.705 8,P=0.482 0)。结论自体血回输在外伤性脾破裂手术中的临床应用价值显著,值得推广。

Objective This paper tries to analyze the clinical value of the transfusion rupture surgery in traumatic splenic autologous blood. Methods 50 cases of traumatic spleen rupture surgery from February 2012 to February 2017 were conveniently selected, adopting the autologous blood transfusion treatment in the operation process, and its therapeutic effect was studied. Results The total blood loss in 50 patients during surgery was 534 500 mL, autologous transfusion volume was 32600 mL, average autotransfusion of blood was 720 mL, the most autotransfusion of blood was 1 700 mL, the minimum of autotransfusion of blood of 400 mL patients; before the surgery, APTT was（35.42±3.56）s, after surgery for（36.01±4.12）s, with no significant difference（t=0.766 2, P=0.445 4）. Before surgery, patients with PT of（12.45±0.81）s, after the operation of（12.58±1.02） s. There was no significant difference between the two groups（t=0.705 8, P=0.482 0）. Conclusion Autologous blood transfusion in the treatment of traumatic spleen rupture in operation has significant clinical application value, so it is worthy of promotion.