摘要
Abstract
Objective To explore the difference of whole blood and blood component transfusion in pediatric cardiac surgery.Methods 60 cases of children with congenital heart disease were randomly divided into two groups,who were treated with open heart surgery under cardiopulmonary bypass .Of the two groups,one was used whole blood transfusion and the other one was used blood component transfusion .Indicators such as hematocrit,colloid osmotic pressure and arterial blood gas analysis ,as well as postoperative mechanical ventilation time and ICU care duration were compared between two groups .Results The total volume of transfusion was more in the whole blood transfusion group than the components blood transfusion group .The level of lactic acid was higher in the whole blood transfusion group than the components blood transfusion group at the time of 30 min after cardiopulmonary bypassing(P <0.05),but there was no significant difference at other time points (P>0.05). There was no significant difference on the postoperative drainage volume ,the mechanical ventilation time and ICU care duration between two groups ( P >0.05).There was no severe complications and death case in both two groups.Conclusions Application of whole blood and red suspension combined with fresh frozen plasma on infants with congenital heart disease after cardiopulmonary bypass surgery ,early recovery are not significantly different . Compared with using whole blood,red suspension combined with fresh frozen plasma ,reduces the total amount of blood during cardiopulmonary bypass in infants with congenital heart disease .关键词
心脏缺损,先天性/心脏外科手术/婴儿/血液成分输血Key words
Heart defects,congenital/Cardiac surgical procedures/Infant/Blood component trans-fusion分类
医药卫生
