Effect of intraoperative autotransfusion on postoperative hematoma of intracranial meningiomas

GU bo; et al

doi:10.13406/j.cnki.cyxb.2005.01.036

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Effect of intraoperative autotransfusion on postoperative hematoma of intracranial meningiomas

更新时间：2024-01-17

- Effect of intraoperative autotransfusion on postoperative hematoma of intracranial meningiomas
- Journal of Chongqing Medical University Issue 1, Pages: 121-123(2005)
- 作者机构：
  
  1. 重庆医科大学临床学院麻醉科
  2. 重庆医科大学临床学院麻醉科,重庆,400016
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2005.01.036
  CLC： R739.45
- Published：2005，
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[1]古博,闵苏,张幼君,张光新.回收式自体输血对脑膜瘤术后血肿的影响[J].重庆医科大学学报,2005(01):121-123.

GU bo, et al. Effect of intraoperative autotransfusion on postoperative hematoma of intracranial meningiomas. [J]. Journal of Chongqing Medical University (1):121-123(2005)
[1]古博,闵苏,张幼君,张光新.回收式自体输血对脑膜瘤术后血肿的影响[J].重庆医科大学学报,2005(01):121-123. DOI： 10.13406/j.cnki.cyxb.2005.01.036.

GU bo, et al. Effect of intraoperative autotransfusion on postoperative hematoma of intracranial meningiomas. [J]. Journal of Chongqing Medical University (1):121-123(2005) DOI： 10.13406/j.cnki.cyxb.2005.01.036.

摘要

目的探讨回收式自体输血是否影响脑膜瘤术后血肿的发生

拓宽血液回收机在开颅手术中的应用。方法90例择期脑膜瘤手术病人随机分为M组（实验组

n=60）和C组（对照组

n=30）

M组病人采用美国HaemoneticsCell-Caver5血液回收机

行术中血液回输

分别于失血前、失血后、回输后监测血气、Hb和Hct。C组病人根据术中出血情况输注异体血。随访两组病人术后输注异体血的量、术后血肿发生情况及感染情况。结果两组病人术中血流动力学稳定

术中Hb和Hct可维持在正常范围内。两组病人术后输注异体血量相似。术后血肿无显著差异。M组术后感染率低。结论回收式自体输血不会影响脑膜瘤术后血肿的发生

可以安全使用。但应加强围术期的管理

以策安全。

Abstract

Objective:To evaluate the clinical effect of intraoperative autotransfusion on postoperative hematoma of intracranial meningiomas and to expand the clinical application of blood callbacked in intracranial surgery.Methods:90 patients undergoing elective surgery for intracranial meningiomas were randomly allocated to the M group (the experiment group

n =60) and the C group (the control group

n =30).In the M group

the autologous blood retransfusion was given with the Haemonetics Cell-Caver5

and the blood gas analysis

Hct were observed before hemorrhage

after hemorrhage and retransfusion respectively.In the C group

the allogeneic blood transfusion was performed considering the intraoperative hemorrhage.All patients were followed up for volume of allogeneic blood transfusion

postoperative hematoma and postoperative infection.Results:The hemodynamics was steady.The Hb and Hct were maintained in the normal range during operation in both groups.The blood volume of postoperative allogeneic transfusion showed no significant difference between two groups.The incidence of the postoperative hematoma showed no significant difference between two groups

but the incidence of postoperative infection was lower in the M group than that of C group.Conclusion:Intraoperative autotransfusion could not influence the incidence of postoperative hematoma of intracranial meningiomas.With the perioperative management

the intraoperative autotransfusion can be used safely for intracranial surgery.

关键词

脑膜瘤自体输血血液回收血肿术后

Keywords

meningiomaAutologous blood transfusionBlood callbackHematomapostoperative

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