自体血回输在抢救异位妊娠黄体破裂内出血中的临床疗效

目的]探讨自体血回输技术抢救异位妊娠黄体破裂内出血的安全性和效果。方法]58例手术中均使用国产2000型血液回收机回收术中自体血。观察患者手术前、后红细胞压积、红细胞计数、血红蛋白含量、血小板及凝血功能的变化和不良输血反应。结果]58例患者腹腔内出血平均出血量（1040±630）mL;共计回收自体血49810mL,平均（985±385）mL,平均回输自体血（845±325）mL,减少了异体血的用量。手术前后患者红细胞、血红蛋白、血小板及凝血功能无明显变化,术后红细胞压积较输血前有所下降,患者无明显的不良输血反应。手术过程顺利,58例患者均痊愈出院。结论]用自体血回输技术抢救异位妊娠黄体破裂内出血患者,能及时提供血源,避免大量异体血输入,确保了输血安全,提高了治疗质量。

Rupure of Corpus Luteum and Internal Haemorrhage of Ectopic Pregnancy Rescued by Taking Aut-blood Feedback

Objective] To explore the effect and safety of aut-blood feedback technology rescuing rupure of corpus luteum and internal haemorrhage of ectopic pregnancy.Method] For 58 cases,national type 2000 blood reclaimer is used to retrieve aut-blood;observe patients HCT,red cell count,hemoglobin content,platelet,blood coagulation change and bad transfusion reaction before and in the operation.Result] For all cases,the abdominal average bleeding amount is(1040±630)mL;the total retrieved aut-blood 49810mL,(985±385)mL in average,average retrieved aut-blood(845±325) mL,reducing allosome blood amount.There’s no marked change on erythrocyte,hemoglobin,platelet and coagulation between before and after operation;while,HCT is reduced in some degree,the patients have no marked side effects.The course is smooth,they are all cured.Conclusion] Applying aut-blood retrieval technology on ectopic pregnancy rupture of corpus luteum and internal hemorrhage can timely offer blood and avoid large amount of allosome blood input,insuring transfusion safety and improving cure quality.