原位肝移植的术中输血

目的：总结原位肝移植术中输血的经验 。方法：分析28例原位肝移植的临床资料及输血情况。结果：28例肝移植受者术中输血总量平均为(9 517±7 680) ml，其中1例婴儿肝移植受者输血总量为920 ml，2例原位肝移植受者实施超大剂量输血，分别达28 740 ml，38 580 ml；术前贫血或/和血小板减少的肝移植受者术中输血并未增多。结论：肝移植术前备血总量可控制在5 000~10 000 ml，应有应对超大剂量输血的措施；血常规结果不能作为肝移植受者术前备血的依据。

Blood transfusion during orthotopic liver transplantation

OBJECTIVE: To summarize the experience of blood transfusion during orthotopic liver transplantation (OLT). METHODS: The clinic data and blood transfusion of 28 patients during OLT were analyzed. RESULTS: The total blood volume of transfusion was 9 517 +/- 7 680 ml averagely for the 28 patients in general during OLT, including that of an infant (920 ml), massive blood transfusion in 2 cases (28740 ml and 38580 ml respectively). The transfusion volume of patients with anemia or/and thrombcytopenia before the operation was not more than that of patients with normal blood routine. CONCLUSION: In general, 5 000 - 10 000 ml is reserved for receptor of OLT before the operation. We should take measures to deal with massive blood transfusion. The preparative blood volume for receptor of OLT can not depend on the result of blood routine.