摘要
目的：探讨术中自体血回输技术在脊柱外科手术中的作用及优点。方法：将2001年1月至2003年3月期间，我科158名进行脊柱手术并接受输血的患者分为实验组(71例)和对照组(87例)。实验组采用术中自体血回收，对照组使用异体输血。比较两组病例的异体输血量、术后血红蛋白值、输血后并发症的发生率。结果：实验组患者平均输入异体血179±40.2ml，对照组患者平均输人异体血795±69.9ml，两组间差异显著(P＜0.05)；两组间术后血红蛋白值无显著差异(P＜0.05)；实验组中仅应用自体血回收技术的患者中无任何并发症发生。结论：行脊柱融合、内固定等大中型手术时出血量较大，采用术中自体血回输技术可以明显减少异体输血量以及由此引起的各种异体输血后并发症的发生。
Objective To investigate the effect of intraopemtive drainage autologous blood transfusion (IDABT) on the pa-tients undergoing spinal surgery.Methods Between January,2001 and March,2003,of 158 patients,who underwent spinal surgeryand blood transfusion,71 received intraoperootive autolngous blood transfusion (IDABT group) and 87 received allogenous bloodtransfusion (control group).The volume of allogenous blood transfusion,the postoperative HB and the complications related toblood transfusion in both the groups were observed.Results The average volume of allogenous blood transfusion was(179.0±40.2)ml in IDABT group,while that was (795.0±69.9)ml in the control group.There was significant difference in the volume off alloge-nous blood transfusion between both groups (P<0.05).There was insignificant difference in the postoperative HB between twogroups(P>0.05),and no complication occurred in the patients receiving IDABT only.Conclusion In the patients undergoingspinal surgery much blood is lost,IDABT can significantly reduce the volume of allogenous blood transfusion and the occurrence ofrelated complications.
出处
《华南国防医学杂志》
CAS
2004年第6期37-40,共4页
Military Medical Journal of South China
