自体血回输在宫外孕失血性休克中的应用与护理体会

目的探讨自体血回输在宫外孕失血性休克中的临床应用与护理价值。方法对35例宫外孕患者采用京精Z-2000A血液回输机进行自体血回输。术中密切观察病情,避免自体血液回输的不良反应及并发症发生。分析患者手术前、后血红蛋白、红细胞压积（HCT）、血小板、活化部分凝血酶时间（APTT）等结果。结果35例患者术中出血总量60400 ml,自体血回输30950 ml,患者无自体血回输并发症发生。结论回收式自体血液回输可有效减少宫外孕失血性休克手术中血液丢失,减少异体血输注,是一种经济、安全、实用的血液保护技术。

Nursing experience and clinical value of autologous blood transfusion in ectopic pregnancy with hemorrhagic shock

Objective： To explore the nursing value and clinical applications of autologous blood transfusion in ectopic pregnancy with hemorrhagic shock.Methods： In the autologous blood transfusion in operation of 35 patients Z-2000A autologous blood recovery system was used.With intraoperatively close observation of condition,the adverse reactions and complications of autologous blood transfusion were avoided.the data were retrospectively analysed of Hemoglobin（HB）,hematocrit（HCT）,platelet（PC）,platelet activated partal thromboplastin time（APTT） of preoperation and postoperation.Results： The total bleeding quantity of the 35 patients was 60400 ml,and the total autologous blood transfusion volume was 30950 ml.No autologous blood transfusion complications occurred in 35cases.Conclusion： Autologous blood transfusion can effectively reduce blood loss in the operation of ectopic pregnancy with hemorrhagic shock and reduce homologous blood transfusion,which is an economic,secure,and practical technique of blood conservation.