回收式自体输血的临床研究

何开华; 闵苏; 张光兴; 张幼君; 王萍

doi:10.13406/j.cnki.cyxb.2003.02.029

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回收式自体输血的临床研究

更新时间：2024-01-17

- 回收式自体输血的临床研究
- Clinical investigation of intraoperative autologous callbacked blood transfusion
- 重庆医科大学学报 2003年第2期页码：210-212
- 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.2003.02.029
  中图分类号： R457
- 纸质出版日期：2003，
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[1]何开华,闵苏,张光兴,张幼君,王萍.回收式自体输血的临床研究[J].重庆医科大学学报,2003(02):210-212.

HE Kaihua, et al. Clinical investigation of intraoperative autologous callbacked blood transfusion[J]. Journal of Chongqing Medical University, 2003,(2):210-212.
[1]何开华,闵苏,张光兴,张幼君,王萍.回收式自体输血的临床研究[J].重庆医科大学学报,2003(02):210-212. DOI： 10.13406/j.cnki.cyxb.2003.02.029.

HE Kaihua, et al. Clinical investigation of intraoperative autologous callbacked blood transfusion[J]. Journal of Chongqing Medical University, 2003,(2):210-212. DOI： 10.13406/j.cnki.cyxb.2003.02.029.

摘要

目的 :探讨术中自体血回收的安全性和效果。方法 :选择 5 2例择期手术病人

估计术中出血量大于 6 0 0ml

采用美国产CellSaver 5自动血液回收机收集术中出血

处理后回输 ;失血前、失血后、回输后 3个时点采血测血色素（Hb）、血球压积（Hct）、电解质和血气分析。结果 :平均回收量 2 196± 6 2 0ml

平均洗涤量 5 172± 6 15ml

平均回输量 12 6 4± 4 18ml

其中 82 .7%（42 / 5 2 ）未输库血 ;失血后与失血前、回输后与失血后比较Hb和Hct有显著性差异（P <0 .0 0 5 ） ;K+ 回输前后变化显著（P <0 .0 5 ）

血气无明显变化（P >0 .0 5 ）。结论 :术中回收式自体输血安全有效

可以节约大量血源。

Abstract

Objective: To discuss the safety and efficacy of intraoperative autologous reclaimed blood transfusion. Methods: Fifty-two patients estimated more than 600ml blood loss during operation were selected

using Cell Saver 5 Blood Recover System.The blood was collected from intraoperative

and transfused back to the patients after treatment.The serum eletrolytes

Hct

blcod gas analysis were measured before hemorrhage and intraoperative as well as after being infused with the blood. Results: 2196±620ml blood was collected per patient during operation and 1264±418ml concentrated blood cells were infused into the patients.Eighty-two point seven percent of patients did not need banked blood infusion during and after operation.Hb and Hct decreased significantly after blood infusion.K + changed significantly after blood infusion.Blood gas had few changes. Conclusion: Technique of intraperative autologous callbacked blood transfusion is safe and effective

and saving blood.

关键词

血液回收自体输血麻醉

Keywords

Blood callbackAutologous blood transfusionanesthesia

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