摘要
目的总结心血管外科成人手术无输血(异体血)的临床经验,旨在进一步拓宽无输血手术范围,缓解血源紧张的压力,避免血源性传染病的发生。方法术前调整凝血功能至适合手术的状态、术中合理配置体外循环管道系统、合理的手术技术及有效的术后止血、血液回收及回输技术的使用等综合措施来保护血液。结果 648例患者中有516例完成无输血手术,总体无输血率达79.6%,无输血组术后血红蛋白(111.3±15)g/L,平均红细胞比容(0.32±0.04),术后引流量(255.9±64.6)ml,气管插管时间(7.89±3.02)h,ICU停留时间(30.56±23.54)h,总住院时间(11.17±3.37)d。结论采取综合的节血措施后,无输血手术在心脏外科的应用是安全可行的。
Objective To summarize clinical experience of adult cardiovascular operation without blood transfusion.Methods Take comprehensive measures to protect blood,such as preoperative blood coagulation adjustment suitable for the operation,rational allocation of intraoperative extracorporeal circulation piping systems,reasonable surgical techniques,effective hemostasis,use of blood collection and autologous blood transfusion technology.Results 516 of 648 surgeries were complished without blood transfusion and rate without blood transfusion was 79.6%.In no blood transfusion group,postoperative hemoglobin was （11.13 ± 1.5） g/l,mean corpuscular volume was （32.83 ± 4.49） %,postoperative 24 hours drainage was （255.9 ± 64.6） ml,extubation time was （7.89 ± 3.02）hours,ICU stay was （30.56 ± 23.54） hours,total hospitalization days was （11.17 ± 3.37） days.Conclusion The application of no blood transfusion in adult cardiovascular surgeries is safe and feasible.
作者
张旭
杜宇
郑晓梅
朴虎林
王勇
王天策
柳克祥
Zhang Xu Du Yu Zheng Xiao-mei Piao Hu-lin Wang Yong Wang Tian-ce Liu Ke-xiang(Department of Cardiovascular Surgery, The Second Hospital of Jilin University, Changchun 130022, China)
出处
《中国体外循环杂志》
2017年第3期169-171,共3页
Chinese Journal of Extracorporeal Circulation
关键词
心血管外科
无输血手术
血液保护
Cardiovascular surgery
No blood transfusion operation
Blood conservation
