四川医学2017,Vol.38Issue(9):1049-1051,3.DOI:10.16252/j.cnki.issn1004-0501-2017.09.020
剖宫产术中回收式自体输血在中央型前置胎盘患者的应用
Application of Salvaged Autotransfusion During Cesarean Section in Patients with Central Placenta Previa
曾葵 1黄蔚1
作者信息
- 1. 四川大学华西第二医院麻醉科,出生缺陷与相关妇儿疾病教育部重点实验室,四川成都610041
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摘要
Abstract
Objective To evaluate the efficacy and safety of salvaged autotransfusion in application of obstetrics by using this technique during cesarean section in patients with central placenta previa.Methods Patients with central placenta previa undergoing elective cesarean sectionfrom August to November 2016 in our hospital were selected.The blood routine,coagulation routine,blood recovery and autotransfusionvolume,volume of transfusion of allogeneic blood and perioperative complications were observed and compared before and after the operation and 24 hoursafter the surgery.Results 48 patients with central placenta previa were included in this study,of which 40 (83.3%)cases of the patients with central placenta previa underwent intraoperative autotransfusion.The average volume of autologous blood recovery was(1047.0 ±472.2) mL,and the volume of autologous blood transfusion was (681.9 ± 263.4)mL.95 % of patients did not require infusion of allogeneic red cell suspensions.All patients were successfully performed without evidence of perioperative amniotic fluid embolism,hypotension,fever,hemolysis,and other adverse events.Conclusion Salvaged autotransfusion during cesarean section is safe and effective for patients with placenta previa in obstetrical department.关键词
回收式自体输血/中央型前置胎盘Key words
salvagedautotransfusion/central placenta previa分类
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曾葵,黄蔚..剖宫产术中回收式自体输血在中央型前置胎盘患者的应用[J].四川医学,2017,38(9):1049-1051,3.