摘要
目的 :探讨心内直视手术后回输心包引流血的安全性。方法 :4 0例中 ,引流血回输组 2 0例 (回输组 ) ,未回输引流血组 2 0例 (对照组 ) ,两组病例分别检测血红蛋白浓度 ,红细胞计数 ,血小板计数 ,纤维蛋白降解产物 ( FDP)等 ,用 t检验对两组均数进行比较。结果 :两组血红蛋白浓度 ,红细胞计数 ,红细胞压积及血小板计数无显著性差异 ,测定引流血和库血FDP及 因子 ,存在显著性差异 ,表明引流血纤溶活性明显低于库血 ,而 因子含量高于库血 ( P <0 .0 5 ) ,回输组库血需要量 ( 85 0± 60 0 ) ml,对照组 ( 14 5 0± 75 0 ) ml( P <0 .0 5 )。结论 :心内直视手术后回输未经洗涤的心包引流血是安全及经济的 。
Objective:To study the safety of autotransfusion of shed pericardium blood after open heart surgery Method:Forty patients were divided into two groups randomly,namely the autotransfusion group who accepted autotransfusion of shed pericardium blood and the control group who did not accepted the shed pericardiam blood,These patients were measured in concentration of hemoglobin,erythrocgte count,blood platelet count and fibrinous decompose product(FDO) Statistic method used was t test Results:There was no remarkable statistic difference in concentration of hemoglobin,erythroyte count and blood platelet count between antotran sfusion group and the contol one But the difference in FDP and factor Ⅷ between shed pericardium blood and the bank blood was remarkable,which indicated that fibrinolysis activity in shed pericardium blood was lower than in bank blood,while the content of factor Ⅷ in shed pericardium blood was higher than in bank blood.The average amount of bank blood needed by the autotransfusion group and the control group was (850±600)ml and (1 450±750)ml (P<0 05) respeetively 450±750)ml (P<0 05) respeetively Conclusion:The autofransfusion of shed pericardium blood after open heart surgery is safe and effective,moreover,the requirement of bank blood was reduced
出处
《广西医科大学学报》
CAS
1999年第4期437-438,共2页
Journal of Guangxi Medical University
