国产自体血液回收机在肝脾破裂手术中的应用效果观察

目的：观察国产自体血液回收机在肝脾破裂手术中的应用效果。方法：回顾性分析本院2011年5月-2013年4月收治的50例肝脾破裂手术患者的临床资料。结果：所有患者手术后的Hb、Hct、PLT水平较手术前均有所下降，比较差异均有统计学意义（P〈0．05）；50例患者中16例患者应用血液回收机技术顺利完成手术，术中未输异体血发生率32％；34例患者由于具有较大的出血量而输异体红细胞悬液和血浆。总体效果令人满意，所有患者均顺利康复，临床异体血用量也得到了显著的减少。结论：国产自体血液回收机在肝脾破裂手术中的应用效果良好。

Application Effect of Domestic Autologous Blood Recovery Machines in the Liver and Spleen Rupture Surgery

Objective： To observe the application effect of domestic autologous blood recovery machines in the liver and spleen rupture surgery. Method： The clinical data of 50 patients who received ruptured spleen surgery and had been treated in our hospital from May 2011 to April 2013 were retrospectively analyzed.Result： Hb, Hct, PLT levels of the patients after the operation were decreased than before operation, the differences were statistically significant （P〈0.05） ; 16 cases completed surgery with blood recycling machine technology successfully among the 50 patients, no intraoperative blood transfusion was 32%; 34 patients had larger amount of bleeding so had to be imported allogeneic red blood cells and the plasma.The overall effect was satisfactory, and all patients recovered uneventfully, the amount of allogeneic blood usage was also significantly reduced in the clinical. Conclusion： Domestic autologous blood recovery machines has good results in the liver and spleen rupture surgery.