贮存式自体输血在1026例择期手术患者中的应用

发布时间：2018-03-31 02:00

  本文选题：贮存式自体输血　切入点：择期手术　出处：《中国输血杂志》2017年07期

【摘要】：目的探讨贮存式自体输血(Preoperative autologous blood donation,PABD)在择期手术中的应用。方法回顾性分析2016年1月-2017年5月我院择期手术进行PABD的1 026例患者的临床资料并与同期未进行PABD的择期手术患者进行比较。结果 (1)我院进行PABD的手术科室主要是神经外科、泌尿外科、骨科、妇科及肝胆外科,分别占同期择期手术患者的5.97%、4.90%、3.78%、3.76%及3.55%;(2)神经外科、泌尿外科、骨科、妇科及肝胆外科择期手术异体RBC输血率,PABD组分别为5.66%、2.51%、4.89%、0及4.88%,非PABD组分别为25.46%、28.58%、24.77%、10.62%及17.54%;(3)术前血红蛋白120 g/L组异体RBC输血率显著高于(120-129.9)g/L组、(130-139.9)g/L组及≥140 g/L组(7.65%vs 2.44%、3.66%及2.70%,P0.05)。结论 (1)综合医院开展PABD主要以神经外科、泌尿外科、骨科、妇科及肝胆外科为主;(2)Hb水平120 g/L的择期手术患者异体RBC输血率高;(3)需要改良PABD才能使患者从PABD中获益。
[Abstract]:Objective to investigate the application of preoperative autologous blood donationn (PABD) in selective operation. Methods the clinical data of 1 026 patients with PABD undergoing elective operation in our hospital from January 2016 to May 2017 were analyzed retrospectively, and the clinical data of 10 26 patients without PABD in the same period were analyzed retrospectively. Results 1) the surgical department of PABD in our hospital is mainly neurosurgery. Urology, orthopedics, gynecology and hepatobiliary surgery accounted for 5.97% of the patients undergoing elective surgery in the same period. The blood transfusion rate of allogeneic RBC in gynaecology and hepatobiliary surgery was 5.661g / L 5.666g / L and 4.89g / L respectively and 4.88g / L respectively. In the non-#en1# group, the blood transfusion rate of allogeneic RBC was significantly higher than that of 120-129.9g / L and 鈮，

本文编号：1688625