稀释法自体输血在喉癌手术中的应用

目的：探讨稀释法自体输血在喉癌手术中的应用价值。方法：对３０例Ⅲ、Ⅳ期喉癌患者采用稀释法自体输血（稀释组），仅在术中失血过多时，再输入适量异体血；将３０例病情及手术方法与稀释组一致的喉癌患者为对照组，不采用稀释法自体输血，有输血指征时输入异体血。结果：稀释组中仅８例需输入异体血，对照组中１９例需输入异体血，差异有极显著性意义（Ｐ＜０．０１）；两组均无并发症发生（Ｐ＞０．０５）。结论：稀释法自体输血

Application of autotransfusion hemodilution in iaryngectom

OBJECTIVE: To study the application and clinical significance of autotransfusion hemodilution in laryngectomy. METHOD: Autotransfusion hemodilution was adopted in 30 patients with III or IV stage laryngeal carcinoma during operation as the experimental group, and the blood transfusion only was adopted in the patients with excessively blood loss. The other 30 patients with the same stages of disease and the same kinds of operation were performed as the control group, without autotransfusion hemodilution and the blood transfusion was adopted if necessary. RESULT: Blood transfusion was necessary to be performed only in 8 patients of the experimental group, on the contrary, it was necessary in 19 of 30 patients of the control group (P < 0.01). There were no complications during the operations, and the postoperative complications were no significance (P > 0.05) between two groups. CONCLUSION: The application of autotransfusion hemodilution may be of help to a plenty of patients with laryngeal carcinoma in advanced stage to keep off the blood transfusion during laryngectomy.