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《《贲门周围血管离断术中自体血回输的应用价值》.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、·26·阿南医学研究2015年1月第24卷第1期HENANMEDICALRESEARCHJan.2015,Vo1.24,No.1贲门周围血管离断术中自体血回输的应用价值陆文昊李德旭金俊硕张原何淑赛(郑州大学第一附属医院肝胆外一科2病区河南郑州450052)【摘要】目的探讨贲门周围血管离断术中应用自体血回输的临床使用价值。方法将2013年6月至2014年5月的54例行贲门周围血管离断术并接受输血的肝硬化门静脉高压症伴上消化道出血患者分为实验组(24人)与对照组(30人),实验组采用术中自体血回输;对照组只输入
2、异体血。对比两组患者术后异体输血量,术后血常规值及输血后相关并发症发生率。结果实验组患者平均输入自体血732ml,共计17568ml,对照组患者平均输入异体血313ml,共计9400ml;实验组和对照组术后血红蛋白值及血小板值差异无统计学意义(P>0.05);实验组无不良反应,对照组1人产生输血过敏症状。结论应用自体血回输能有效地减少自体血丢失和异体血的输入量。自体血回输对血液成分无明显影响。【关键词】贲门周围血管离断术;自体血回输;异体输血【中图分类号】R657.3doi:10.3969/j.issn.1
3、004—437X2015.01.008ApplicationofautologousbloodtransfusioninpericardialdevascularizationLuWenhao,LiDexu,JinJunshuo,ZhangYuan,HeShusai(DepartmeraofHepatobiliarySurgery,theFirstAffiliatedHospitalofZhengzhouUniversity,Zhengzhou450052,China)【Abstract】Objective
4、ToinvestigatetheclinicalvalueoftheintraoperativeautologousbloodtransfusioninPericardialdevas—cularizationsurgerycases.Methods54eligiblepatientsintotalundergoingthePericardia1devascularizationsurgeryandaccept—edbloodtransfusionwereenrolled.Thetargetpopulati
5、onweredividedintoexperimentgroup(24cases)andcontrolgroup(30cases).Theexperimentgroupreceivedinteroperationautologousbloodtransfusionandthecontrolgroupadoptedhomologousbloodtransfusion.Theamountofhomologousbloodtransfusion,thebloodroutinepostoperationandthe
6、incidencerateofcomplicationsofbloodtransfusionwerecomp~edbetweenthetwogroups.ResultsTheexperimentalgrouptransfuedantologousblood732mlforaverage,17568mlintotal,andthecontrolgroupneededallogeneicbloodtransfusion313mlforaverage,9400mlintota1.Therewasnodiffere
7、nceofbloodconstituentbetweentwogroups(P>0.05).Nocomplicationoccurredintheexperimentgroupwhile1caseofbloodtransfusion—inducedanaphylaxisoccurredinthecontrolgroup.ConclusionTheusageoftheautologousbloodtransfusioncoulddecreasethelossofbloodandtheamountofhomol
8、ogoustransfusion.Theautologousbloodtransfusionhadnoeffectonbloodconstituent.【Keywords】pericardialdevascularizati0n;autologousbloodtransfusion;homologousbloodtransfusion肝硬化门脉高压症(portalhypertension,PHT)临床1资料与方法
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