预贮式自体输血在法乐氏四联症手术中的应用

Clinical appliaction of predeposit autotransfusion in open heart surgery for tetralogy of Fallot

目的 :比较预贮式自体输血 (PredepositAutotransfu sion ,PAT)和异体输血 (homologousbloodtransfusion ,HBT)在先天性心脏病法乐氏四联症心脏直视手术中的应用效果 .方法 :严格筛选 2 4例患者 ,分为两组 ,其中PAT1 0例 ,HBT1 4例 .比较两组间术后 1 2h内的血红蛋白 (Hb)、红细胞压积(HCT)、中心静脉压 (CVP)、输血量及术后胸腔引流量的差异 .结果 :两组对比 ,术前RBC ,Hb,HCT ,WBC ,PLT无统计学显著性差异 (P >0 .0 5 ) ,术后 1 2h内Hb ,HCT ,CVP ,输血量及胸腔引流量无统计学显著性差异 (P >0 .0 5 ) .结论 :在先天性心脏病法乐氏四联症体外循环心脏直视术患者中 。

AIM: To assess the effect of open heart surgery in tetralogy of Fallot with predeposit autotransfusion and homologous blood transfusion. METHODS: Twenty four cases were assigned to two groups. Group I consisted of 10 patients who underwent predeposit autotransfusion; group II consisted of 14 patients who underwent homologous blood transfusion. In 12 hours after surgery, Hb, HCT, CVP, the volume of transfusion and the volume of thorax drainage were measured and compared between the two groups. RESULTS: Between the two groups, there were no significant difference in RBC, Hb, HCT, WBC and PLT preoperatively ( P >0.05) and in Hb, HCT, CVP, the volume of transfusion and the volume of thorax drainage postoperatively ( P >0.05). CONCLUSION: Effect of predeposit autotransfusion in open heart surgery in tetralogy of Fallot was the same as that of homologous blood transfusion in hematology and in hemodynamics after surgery.