摘要
目的探讨在心脏直视手术中采用自体血回输的临床效果。方法将2002年进行心脏直视手术的患者作为观察组,采取综合自身输血措施,包括回输体外循环前经腔静脉放的肝素血,应用美国AOTOLOG自身血液回收机回收患者切口创面的血液,回输剩余机血、应用抑肽酶等。1998年进行心脏直视手术的患者作为对照组,体外循环前不放血、不进行血液回收、也不回收剩余机血,根据术中失血量输注库血。比较两组患者手术前后的出凝血状况、Hb的变化、术中失血量、术后引流量、用异体血量及术后并发症等情况。结果两组之间相比,术前与术后24小时HB、PLT、PT、术中失血量等方面差异无显著性(P>0.05);而术后引流量、输注异体血量对照组均大于观察组(P<0.01)。术后并发症对照组明显高于观察组P<0.01。结论对心脏直视手术患者采取自身输血措施,可明显减少输异体血量、术后引流量及术后并发症的发生率。
Objective To study the clinical effects of autogeuous blood transf usion in open heart surgery.Methods All patients were divided into two groups.Th e patients underwent(received)open heart surgery in 2002 as observed group and t he synthetic autogenous blood was transfused.The patients underwent open heart s urgery in 1998 as control group and according to the patients lost the volume of blood,the banked blood was given during operation.Results Comparing with betwee n two groups,the Hb,PTL,PT and intraoperative losing blood weren′t significant defference(P >0 05)pre and postoperation 24 hours,but in the postoperative drai nage volume and transfused heterogenous blood,the control group was more than th at observed group(P< 0 01).The operative complications which control group was higher than that observed group(P< 0 01).Conclusion Using autogenous blood tran sfusion for open heart surgery,the heterogenous blood transfusion,postoperative drainage volume and postoperative complications can be reduced obviously.
出处
《岭南现代临床外科》
2004年第1期34-36,共3页
Lingnan Modern Clinics in Surgery
