急性等容血液稀释自体输血应用于肝癌切除术时临床麻醉和血流动力学的效果分析

目的：探讨急性等容血液稀释(ANH﹚自体输血应用于肝癌切除术时临床麻醉与血流动力学的效果。方法该研究方便选取于2014年1月―2015年12月对该院收治的原发性肝癌肝切除术患者41例,麻醉后实施采血并进行ANH自体输血。观察患者术前、血液稀释后、采血后、回输血前、回输血后、术后1 d血红蛋白(Hb﹚与红细胞比容(Hct﹚水平。结果回输自体血后、术后1 d,Hb分别为(112.25±4.11﹚g/L、(119.15±5.62﹚g/L与Hct水平分别为(0.32±0.01﹚、(0.35±0.02﹚与术前比较,差异有统计学意义(P<0.05﹚。结论 ANH自体输血应用于肝癌切除术,能够有效避免术中输入异体血,明显减少红细胞的丢失。

Clinical Effect of Autologous Transfusion of ANH in the Anesthesia and Hemodynamics during the Hepatectomy

Objective To study the clinical effect of autologous transfusion of ANH in the anesthesia and hemodynamics during the hepatectomy. Methods Convenient selection from January 2014 to December 2015 in our hospital treatment of 41 patients with primary liver cancer were selected. The subjects received the liver resection, anesthesia, blood sampling and autologous transfusion of ANH. The level of Hb and Hct as well as the level of non-invasive blood pressure, HR, SpO2, ECG, Na+, K+ and Cl- before surgery, after ANH and blood sampling, before and after transfusion and after 1d of surgery was detected. Results Autologous blood transfusion, postoperative 1D, Hb were (112.25± 4.11﹚ g/L, (119.15± 5.62) g/L and Hct levels were (0.32 ± 0.01), (0.35 ± 0.02) compared with preoperative, the difference was significant(P<0.05). Con-clusion During the hepatectomy, the autologous transfusion of ANH can efficiently avoid the homologous blood transfusion and reduce the loss of erythrocyte.