术中自体血液回收249例临床总结

Clinical observation of intraoperative autotransfusion in 249 cases

目的 观察术中自体血液回收在各种手术中的应用。方法 应用COBE BRAT2自体血液回收机对249例行各种手术的病人进行自体血液回收,经过抗凝、回收、过滤、洗涤程序处理后再回输给病人,并记录每例病人的回收血量和回收血的血细胞比容。结果 249例病人术中每例回收浓缩红细胞悬液100～2700ml不等,平均每例回收520±347ml,共129566ml。经血液回收机处理后获得的血液,血细胞比容>37％的有174例,每例回收浓缩红细胞悬液150～2700ml不等,平均每例回收608±371ml,共105830ml。结论 术中自体血液回收是安全、有效的自体输血方式,节省了大量的库血,减少了输血并发症。

Objective To investigate the application of intraoperative autotransfusion in various surgeries. Methods C08E BRAT2 cell saver was used in 249 patients undergoing various surgeries. To each case, the blood was undergone the procedures of anti-coagulation, collection, filter and washing, then retransfused to patient. Results the amount of autologous transfusion was 100 -2 700ml (520±347 ml) .The number of patients whose hematocrit was higher than 37% is 174. Conclusion Intraoperative auto-transfusion is safe and effective. It can save blood from blood bank, and decrease complications related to allogenic transfusion.