回收式自体输血在抢救妇科腹腔内出血合并失血性休克手术中的应用

摘要

Objective To review the application of salvaged blood autotransfusion in gynecological surgery for peritoneal bleeding and hemorrhagic shock. Methods Salvaged blood autotransfusion was performed in 95 patients with peritoneal bleeding and hemorrhagic shock by using the domestic 3000P blood recycle machine between February 2010 and December 2012. The change of blood RT and blood clotting function were observed 2d before and after the surgery. The germiculture was performed in recycled blood samples. Results The average recycled red blood cellsuspension transfused was 534.12±232.26 ml in 95 patients, and no blood transfusion reactions occurred. Conclusion During the gynecological surgery for peritoneal bleeding and hemorrhagic shock, automatic blood recycling machine provides a safe and effective application of blood auto-transfusion.%目的：探讨自体血回输在抢救妇科腹腔内出血合并失血性休克患者手术中应用的安全性及有效性。方法对2010-01-2012-12共95例妇科腹腔内出血合并失血性休克患者中采用北京京精医疗设备有限公司生产的国产3000P型血液回收机将腹腔内出血回收、洗涤并回输，观察患者术前、术后第2天的血常规、凝血功能变化，并留取回收处理后的血样做细菌培养。结果95例患者平均回输红细胞悬液（534.12±232.26）ml，无一例发生输血反应，术后检测血常规、凝血功能各指标与术前差异无统计学意义，回收血样血培养结果阴性。结论在抢救妇科腹腔内出血合并失血性休克患者时，术中使用全自动血液回收机能快速的进行自体血回输，是安全有效的方法，避免大量异体血输入，确保输血安全，可显著节约血源。