摘要
目的探讨大出血病人自体血液回收的再输入临床应用的意义。方法选择17例大出血病人进行自体血液回输(自体组),根据病情分两种方法进行:(1)回收的血液经收集至贮血滤血器内过滤后回输;(2)经收集、抗凝、过滤、分离、洗涤、净化后回输。观察其对休克纠正的效果、围手术期的血常规、肝功能的变化、输血并发症的发生及病人预后情况。并与12例大出血异体血输入病人(对照组)比较。结果17例病人均痊愈出院。回收自体血共24 000 mL,回收率为87.5%,结合输入晶体、胶体液,维持稳定的血液循环。对照组需输入大量库血,且输血并发症高。结论术中自体血回输是抢救大出血病人的重要措施之一。
Objective Discusses the clinical significance of blood recycling for the greatly bleeding patient. Method Seventeen cases self- returning abdominal cavities bleeding applying in massive hemorrhage operation （ experimental group ） were chosed. There were two ways divided according to patients condition. （ 1 ）recycling blood after collecting in the blood filter and then filtering. （2）Inputing after collecting, prevention of clotting, separating, washing and purification. Observe its effection to the shock treating, routine blood test, the liver function change in postoperation period, blood transfusion complication and condition after recovery. Compare with 12 patients who sufferred from massive hemorrhage inputed the blood from foreign body （Control group）. Result Seventeen patients recovered, The total blood recyled from self- body is 24,000 mL, the recycling rate is 87.5 %, combined with inputing crystal, colloid fluid, Maintaining the stable circulation. The control group should be input massive storing blood, and which has more complication. Conclusion It is one of important measures for self - body blood recycling to treat patients with massive hemorrhage
出处
《南华大学学报（医学版）》
2006年第4期579-581,共3页
Journal of Nanhua University(Medical Edition)
关键词
大出血
自体血
异体血
并发症
massive hemorrhage
self- body blood
foreign body blood
complication
