贮存式自体血利用率影响因素分析

发布时间：2018-04-28 22:06

本文选题：贮存式自体输血 + Hb水平　；参考：《中国输血杂志》2016年02期

【摘要】：目的分析影响择期手术患者贮存式自体血利用率的因素,探讨其在择期手术贮存式自体血采集中的指导意义。方法 2013年1-11月对本院106名贮存式自体输血(PABD)患者和97名未备自体血患者贮存式自体血的利用进行回顾性分析,分析术前Hb水平、术中预计出血量、自体血回输率、异体血输注及人均输血量等,对PABD的利用效率进行分析讨论。结果 106名PABD患者中有101例(95.3%)自体血得以回输,其中77例患者(72.6%)术中仅输注自体血,26例(24.5%)因术中出血较多而又输注异体血;5例(4.7%)自体血未回输。当患者术前Hb水平125 g/L时,术中实际出血量800 m L时,PABD组总的输血率和输血量均大于对照组(P0.05);出血量800 m L时,2组患者总输血量没有差异,与术前Hb水平无关。结论患者术前Hb水平较高且术中出血量较少时,实施PABD增加了总的输血量和自体血的报废率,对异体血的节约作用有限。
[Abstract]:Objective to analyze the factors affecting the storage type of autologous blood utilization in elective surgery patients and to explore the guiding significance of the storage type autologous blood collection in elective surgery. Methods a retrospective analysis was made on the use of storage type autologous blood in 106 PABD patients and 97 patients without autologous blood in 1-11 months of 2013. Hb level, intraoperative bleeding, autologous blood transfusion, allogeneic blood transfusion and per capita blood transfusion, the use efficiency of PABD was analyzed and discussed. Results of 106 PABD patients, 101 cases (95.3%) of autologous blood could be retransfused, of which 77 patients (72.6%) were only transfused with autologous blood, 26 cases (24.5%) had more bleeding and transfusion of allogeneic blood; 5 The total blood transfusion rate and blood transfusion amount in group PABD were greater than that of the control group (P0.05) when the actual amount of bleeding was 800 m L before operation, and the total blood transfusion rate and blood transfusion amount in the PABD group were higher than those of the control group (P0.05). When the amount of bleeding was 800 m L, the total blood volume of the 2 groups was not different from the preoperative Hb level. The implementation of the higher level of Hb and less bleeding during the operation was carried out in the patients before operation. (4.7%) the amount of blood transfusion and blood transfusion in PABD group were higher than that of the control group (P0.05). PABD increases the total blood transfusion and the rejection rate of autologous blood, which has limited effect on allogeneic blood.

【作者单位】：山东大学齐鲁医院输血科;
【分类号】：R457.1

【相似文献】