自体浓缩红细胞在Rh（D）阴性患者中的应用探讨

王帅; 王振芳; 王亚; 杨连莲; 胡佳丽

doi:10.13201/j.issn.1004-2806-b.2019.02.021

自体浓缩红细胞在Rh（D）阴性患者中的应用探讨

- 冀中能源邢台矿业集团总医院输血科(河北邢台, 054000)

详细信息

通讯作者: 王振芳,E-mail:zyywangzhenfang@sina.com

中图分类号: R555

Application of autologous concentrated red blood cells in Rh （D） negative patients

- Department of Blood Transfusion, Jizhong Energy Xingtai Mining Group General Hospital, Xingtai, 054000, China

More Information

Corresponding author: WANG Zhenfang, E-mail: zyywangzhenfang@sina.com

摘要

摘要: 目的:探讨术前1 d采自体浓缩红细胞在Rh(D)阴性患者择期手术中的应用效果,以解决Rh(D)阴性患者术中输血难题。方法:采集2016-07—2017-12择期手术Rh(D)阴性患者10例,采用NGL XCF-3000血液成分分离机,采集2~3 U浓缩红细胞,同时将分离出的血浆回输予患者。把采集的浓缩红细胞贮存袋内加入适量的血液保存液,置4℃自体贮血专用冰箱保存备用。对采血前后及术中输血前后血液的有关指标进行比较分析。结果:10例Rh(D)阴性患者术前采集自体浓缩红细胞2~3 U,术中将预采的浓缩红细胞回输,手术顺利完成。采血前后及回输前后血液有关指标比较意义无统计学意义(P＞0.05)。结论:自体浓缩红细胞术前1 d采集贮存,术中应用于Rh(D)阴性患者,是一种安全、有效的好方法。
- Rh(D)阴性患者 /
- 自体输血 /
- 浓缩红细胞 /
- 临床应用
Abstract: Objective:To discuss the application effect of autologous concentrated red blood cells collected 1 day before surgery in the Rh(D)negative patients undergoing elective surgery,and resolve blood transfusion problems for Rh(D)patients.Method:Ten Rh(D)negative patients with elective surgery were selected from July 2016 to December 2017,and 2-3 U concentrated red blood cells were collected using NGL XCF 3000 blood cell separator,and the separated plasma were reinfused to the patients.The collected concentrated red blood cells were stored in storage bags added with the proper amount of preservation solution at 4 ℃ storage refrigerator specific for autologous blood.And related blood indicators before and after blood collection as well as before and after blood transfusion during surgery were compared.Result:2-3 U concentrated red blood cells of 10 cases of Rh(D)negative patients were collected before surgery,and the collected concentrated red blood cells were reinfused to the patients during surgery.The surgeries were completed successfully.The comparisons of blood indicators between before and after blood collection as well as beforen and after transfusion did not have statistical significance(P＞0.05).Conclusion:Autologous concentrated red blood cells were collected one day before surgery RBC and reinfused to the Rh(D)negative patients during surgery,which would be a safe and effective good way.
- Rh(D)negative patients /
- autologous transfusions /
- concentrated red blood cells /
- clinical application

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