预存式自体输血在择期手术中的应用与分析

目的 探讨预存式自体输血在择期手术中的应用及意义.方法 对北京某三甲医院2011年1月～2012年10月期间49例外科手术患者预存式自体血应用情况进行回顾性分析.监测患者采血前后某些指标的变化,并与输异体血患者做对比,分析自体输血的效果.结果 49例预存式自体输血患者采血前后各项指标均有所下降,但均在正常范围内且维持在较满意的水平（P〉0.05）,与输异体血的患者相比,差异无统计学意义.结论 估计术中出血量不会太大的择期手术患者,预存式自体输血是一种安全、有效的输血方式,既减少了输异体血不良反应的发生、又节约了血液资源,值得在临床推广.

Clinical application and analysis on prestorage of autologous blood transfusion in elective surgery

Objective To analyse of prestorage of autologous blood transfusion in elective surgery in clinical application discusses the applicable scope of elective operation. Methods On 49 cases with elective surgery patients stored autohemotransfusion application cases were retrospectively analyzed. Analysis of patients with blood, before and after autologous blood after blood routine changre of input, statistics, such as saving blood transfusion reaction. From several aspects of autologous blood transfusion in clinical application are discussed. Results Prestored autologous blood transfusion patients after blood sampling than blood routine indexes are decreased, but were maintained in satisfactory levels（P 〉0. 05）. Conclusion Using prestored autohemotransfusion can not only guarantee the operation time and blood transfusion safety, and can reduce the occurrence of adverse transfusion reaction.