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摘要: 目的:分析探讨同济大学附属东方医院择期骨科手术患者的输血方式及临床用血情况的差异,为输血科合理备血及手术科室用血提供有价值的参考信息。方法:搜集2016-04-01-2018-03-31期间共计128例骨科手术术中用血患者的临床输血资料,分析其年龄、病种、血型的分布情况,并对其输血方式和各种异体成分血的输注情况进行回顾性统计分析。结果:128例患者多为骨折和椎间盘突出患者,有15例术中应用自体输血,其中12例应用稀释式自体输血方式,3例应用回收式自体输血方式;15例应用自体输血的患者中有4例为自体异体联合输血患者。不同病种的骨科手术患者间年龄分布差异无统计学意义,不同病种、血型间各种异体成分血的平均用血量差异无统计学意义,异体输血患者与自体输血患者间年龄比较差异有统计学意义,异体自体联合输血患者与自体输血患者间年龄比较亦差异有统计学意义,稀释式与回收式自体输血方式间患者年龄比较差异无统计学意义。结论:通过对骨科手术患者术中输血情况的分析,总结出各病种的备血经验,利于输血科制定储血计划,自体输血是骨科手术重要的血液保护措施,可有效节约异体血液的应用。Abstract: Objective:To analyze the form of blood transfusion and the difference of donor blood transfusion volume in patients undergoing elective orthopedics surgery,so as to provide valuable reference information for clinical work in the future.Method:We collected the clinical blood transfusion data of a total of 128 patients undergoing orthopedics surgery in our hospital from April 1 2016 to March 31 2018,and analyzed the age,disease and blood type.The form of blood transfusion and the transfusion volume of allogeneic blood components were studied in retrospective statistical analysis.Result:Of 128 cases of patients undergoing orthopedics surgery with intraoperative blood transfusion,15 cases with autologous blood transfusion,of which 12 cases were treated with hemodilated autologous blood transfusion and 3 cases with salvaged autologous blood transfusion;of 15 cases with autologous blood transfusion,4 cases with autologous combined allogeneic blood transfusion.There was no significant difference in the age distribution among the orthopedics patients with different diseases.There was no significant difference in the average volume of allogeneic blood transfusion between the different kinds of diseases and blood types.The age of the allogeneic and the autologous blood transfusion patients was significantly different,and the age of the autologous combined the allogeneic blood transfusion patients and the autologous blood transfusion patients was also significant.There was no significant difference in age between patients with hemodilated and salvaged autologous blood transfusion.Conclusion:Through the analysis of the blood transfusion in the orthopedics surgery patients of our hospital,the blood preparation experience of various diseases was summed up and the blood storage plan could be made in favor of the Blood Transfusion Department.Autologous blood transfusion is an important measure of blood protection in orthopedics operation,which can effectively save the application of allogenic blood transfusion.
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Key words:
- autologous transfusion /
- orthopedics surgery /
- transfusion volume /
- blood type /
- age /
- disease type
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[1] 赵晓明,吴文娟,杨冀,等.457例心脏手术患者临床用血趋势分析[J].临床血液学杂志,2017,30(6):424-427.
[2] 许靖,高利臣,陆昊昌.回收式自体输血在各类手术中的应用情况分析[J].湖南师范大学学报(医学版),2015,12(6):97-100.
[3] 项雪琴.急性等容血液稀释联合回收式自体输血用于骨科手术[J].中国基层医药,2014,21(11):1694-1696.
[4] Pérez-Ferrer A,Gredilla-Díaz E,de Vicente-Sánchez J,et al.Implementation of a patient blood management program in pediatric scoliosis surgery[J].Rev Esp Anestesiol Reanim,2016,63:69-77.
[5] Loughenbury PR,Berry L,Brooke BT,et al.Benefits of the use of blood conservation in scoliosis surgery[J].World J Orthop,2016,7:808-813.
[6] 徐志杰.急性高容量血液稀释联合自体血回收技术在脊柱侧弯手术中的应用[J].现代医药卫生,2012,28(21):3253-3254.
[7] 王勤,谷凌云,陈震,等.血液自体回输在骨科手术患者中的应用观察[J].解放军医药杂志,2015,27(10):66-68.
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