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肺癌切除围手术期不输血的可行性

Feasibility of lung resection without blood transfusion for patients with lung cancer
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摘要 目的:研究肺癌切除手术不输血的可能性。方法:1998年2月~2001年10月将实施肺癌切除手术患者分为2组:输血组56例、不输血组58例。比较两组的有关指标。结果:输血组与不输血组在术中出血量、术前及术后血红蛋白、红细胞、血小板计数、出凝血时间、术后体温正常时间、感染并发症等方面均无明显差异(P>0.05)。术后的胸腔引流量输血组多于不输血组(P<0.05)。结论:大多数肺癌手术不输血是可行的,不输血未影响肺癌手术质量及安全性。 Purpose:To study the feasibility of lung resection without blood transfusion for patients with lung cancer. Methods:From Feb 1998 to Oct 2001,114 cases with lung cancer underwent lung resection,the patients were divided into two groups,blood transfusion group(n=56) and no-transfusion group (n=58).The data of transfusion group were com- pared with no-transfusion group.Results:There was no differences in the amount of operative hemorrhage,the content of hemoglobin,the count of red blood cell and blood platelet count,the coagulation time and bleeding time and the postopera- tive infection morbidity during perioperative (P>0.05).The amount of transfusion blood transfured was 514.7ml±172. 56ml.The amount of thoracic drainage was larger in transfusion group than that in no-transfusion group(P<0.05).Con- clusions:It is feasible that lung cancer may be resected without blood transfusion,which does not affect the quality and safety of surgery.
出处 《中国癌症杂志》 CAS CSCD 2002年第5期453-454,464,共3页 China Oncology
关键词 围手术期 肺肿瘤 手术治疗 输血 lung cancer surgery blood transfusion
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参考文献4

  • 1陈克能,周福有,师晓天.癌症患者围手术期输血的副作用[J].国外医学(肿瘤学分册),1998,25(2):101-102. 被引量:14
  • 2陶其敏.病毒性肝炎的控制问题[J].中华医学杂志,1993,73(6):323-324. 被引量:8
  • 3Bordin JD, Bardossy L, Blajchman M.Growth enhancement of established tumors by allogencic blood transfusion in experimental animals and its amelioration by leukodepletion:the importance of timing of leukodepletion[J].Blood,1994,84(2)344-348.
  • 4Tartter PI, Burrows L, Kirschner P.Perioperative blood transfusion adversely affects prognosis after resection of stage I (subset N0) non-small-cell lung cancer[J]. J Thoroc Cardiovasc Surg,1984,88(5): 659-662.

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