局解手术学杂志2012，Vol.21Issue(6)：620-622,3.
52例大血管手术中的自体血液回收应用分析
Application of intra-operative cell salvage for great vessels surgery in 52 cases
陈祥舟 1刘梅 1肖颖彬 1王学锋 1陈林 1李福平1
作者信息
- 1. 第三军医大学新桥医院全军心血管外科中心,重庆400037
- 折叠
摘要
Abstract
Objective To explore the application of intra-operative cell salvage(ICS) for great vessels surgery. Methods The equipment of ICS was used for great vessels operation in 52 cases (from January 2011 to December 2011) which included 17 cases with Stanford type A aortic dissection, 10 cases with Marfan's syndrome, 15 cases with a scending aortic aneurysm,6 cases with abdominal aortic aneurysm and 4 cases with aortic coarctation or interrupted aortic arch. The total volume of blood loss and washed red blood cell ( WRBC) and all blood transfusion perioperative were recorded,then blood gas and activated coagulation time (ACT) for WRBC and banked red blood cell (BRBC) randomly were tested. Results Total volume of blood loss was 612 ~ 10 058 mL,3 199 mL in average and the volume of WRBC was 130 ~ 1 645 mL,647 mL in average. The volume of blood loss and WRBC in 5 groups were comparative(P >0.05) ,ACT of WRBC and BRBC had no significant difference (P >0. 05) ,but there were significant differences in blood gas between WRBC and BRBC(P <0.01). To compare with the similar groups of great vessels surgery patients in 2010, it can reduce 40% BRBC transfusion ( P < 0. 05) perioperative. Conclusion The application of ICS for great vessels surgery has a satisfactory clinical efficacy. Meanwhile it may decrease the need for homologous banked blood transfusion, so it should be used for great vessels surgery in routine.关键词
血液回收/大血管/外科手术/输血Key words
cell saver/great vessels/surgery/blood transfusion分类
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陈祥舟,刘梅,肖颖彬,王学锋,陈林,李福平..52例大血管手术中的自体血液回收应用分析[J].局解手术学杂志,2012,21(6):620-622,3.
