回收式自体输血的临床应用体会

目的回顾我院回收式自体输血的术中应用及患者术后恢复情况,评价回收式自体输血的安全性和有效性。方法回顾725例术中应用回收式自体输血的患者回收、回输血液量、术后输注异体血以及治愈情况。比较其中未输异体血的140例回收式自体输血患者术前、术后1d和术后5d的红细胞计数（RBC）、血红蛋白（Hb）、红细胞比容（Hct）、白细胞计数（WBC）、血小板计数（PLT）。结果经血液回收机回收血液总量1501920ml,平均每例2072ml。725例患者中,死亡7例术后,其余患者均康复出院。术后1d与术前比较RBC、Hb、Hct、PLT、WBC间差别有显著性意义（P〈0.05）;术后5d与术前各指标间差别无显著性意义（P〉0.05）。结论回收式自体输血可以减少异体血的输注,缓解血源紧张,降低输血并发症及医疗费用,在抢救大出血时发挥着积极作用。

Clinical Understand of Recovered Self-Blood Transfusion

Objective To evaluate the safety and effectiveness of intraoperative cell salvage and autotransfusion of washed salvaged red blood cells.Methods Seven hundred and twenty five patients undergoing recovered self-blood transfusion were reviewed and statisticsed.Among them,RBC,Hb,Hct,PLT and WBC before operation,1 day postoperatively and 5 day postoperatively were studied in 140 patients with no allogeneic transfusion.Results The volume of recovered blood is 1 501 920 ml,the average is 2072 ml per people.Among 725 patients,7 patients died postoperatively,other patients recovered and were discharged.Compared with before operation,RBC,Hb,Hct and PLT were lower at 1 day postoperatively,WBC rised(P<0.05),They recovered at 5day postoperatively(P>0.05).Conclusion The use of intraoperative blood cell salvage significantly lowered the allogeneic transfusion requirement,which can lower the complications of allogeneic transfusion and lead to substantial cost savings.