储存式自体输血在Rh(D)阴性血型孕妇中的应用与评价

Application and evaluation of stored autohemotransfusion in Rh(D)-negative blood type pregnant women

目的：评价储存式自体输血在Rh(D)阴性血型孕妇中的应用价值。方法：存在产后出血风险的Rh(D)阴性血型孕妇18例在知情同意下接受储存式自体输血，并检测采血前后各项血液指标。结果：采血过程中孕妇与胎儿的生命体征均未见任何异常状况，采血前后孕妇的RBC、Hb、Hct、PTL等指标以及胎心音改变差异无统计学意义(P＞0.05)。新生儿结局良好，Apgar评分均8～10分。结论：Rh(D)阴性血型血源紧张，而储存式自体输血则为该类产妇产后大出血得到及时的输血机会提供了重要的途径，且安全、有效。

Objective:To evaluate the application value of stored autohemotransfusion in Rh(D)-negative blood type pregnant women.Methods:In the case of informed consent,18 patients with postpartum hemorrhage risk of Rh(D) negative blood type of pregnant women receive stored autohemotransfusion,and blood indexes were detected before and after blood collection.Results:During the process of blood collection, the vital signs of the pregnant woman and the fetus were not found any abnormal condition,and there were no significant differences between RBC,Hb,Hct,PTL and other indexes of the pregnant women and the changes of fetal heart sound before and after blood sampling(P > 0.05).The neonatal outcome was good,and apgar score were 8 to 10 points.Conclusion:The Rh(D) negative blood type blood is in short supply,whiles tored autohemotransfusion provides an important way for this kind of maternal postpartum hemorrhage to get timely blood transfusion,and it is safe and effective.