摘要
作者从１９９５年６月至８月对４２例心脏直视手术患者进行手术后回输未经洗涤的心包及纵隔引流血（简称胸腔引流血）对照研究。４２例中，引流血回输者２２例（回输组）；未回输引流血者２０例（对照组）。两组病例分别检验血红蛋白、红细胞计数、血小板计数、纤维蛋白降解产物（ＦＤＰ）等。用ｔ检验对两组均数进行比较。结果发现：两组血红蛋白浓度、红细胞计数、红细胞压积及血小板计数无显著差异；测定引流血和库血ＦＤＰ及Ⅷ因子，存在显著差异，表明引流血纤溶活性明显低于库血，而Ⅷ因子含量高于库血。回输组库血需要量１１００±７００ｍｌ，对照组１８００±１０３０ｍｌ（Ｐ＜０．０５）。作者认为：心脏直视手术后回输未经洗涤的心包及纵隔引流血是安全及经济的，并可减少库血需要量。
Thisprospectivestudywasdesignedtodeterminewhethertheautotransfusionofshedmediastinalblood(ATS)afteropenheartsurgeryissafeandefective.Forty-twopatientsundergoingcardiacoperationwererandomizedtoreceiveeithernonwashedshedmediastinalblood(group1;n=22)orbankedblood(group2:n=20).Nodiferenceinmeanage(group1:49±11years;group2:45±12years),coronaryarterybypassgrafting(group1:n=5,23%;group2:n=6,30%),valvereplacement(group1:n=17,77%,group2:n=14,70%),andmeanpreoperativehemoglobinlevel(group1:13.7±2.3,group2:14.4±1.6)wasnotedbetweennon-ATSandATSgroups(p=notsignificant).Themeanhemoglobinlevelsafteroperationweresimilarinthetwogroups(group1:11.89±1.52;group2:12.03±1.34).Nodifferenceinthemeanbloodloss4,6and24hoursafteroperation(group1:33±190,420±340and550±300;group2:340±230,420±280and670±380)wasobservedbetweenthetwogroups.ThemeanvolumeautotransfusedingroupIwas380±230ml(200～1300ml).IngroupI,thepatientsrequiredbankblood1080±720,comparedwith1780±1045ingroupI.Thebankbloodrequire-mentingroupIreductedby40%.ThesedatademostratethatATSafteropenheartsurgeryissafeandefective.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1996年第8期497-499,共3页
Chinese Journal of Surgery
