中国输血杂志2017，Vol.30Issue(12)：1333-1336,4.DOI:10.13303/j.cjbt.issn.1004-549x.2017.12.005
单采深度自体储血技术在巨大神经纤维瘤手术中的临床应用研究
Study on the application of advanced autologous apheresis in giant neurofibroma surgery
摘要
Abstract
Objective To evaluate the allogeneic-blood-saving status whenAdvanced Autologous Apheresis (AAA) is applied in giant neurofibroma elective surgery.Methods 15 cases of patients undergonegiant neurofibroma elective surgery between 2012.1 and 2015.12 were collected and divided into the AAA-applied group and the non-AAA control group.The demographic data,the preoperative and postoperative Hb and PLT,the length of hospitalization,the intraoperative bleeding volume,the amount of intraoperative red blood cell (RBC) salvaged,the amount of the autologous RBC and platelet donation,and the amount of allogeneic RBC,plasma and platelettransfusedwere compared.Results 1) The demographic data,the preoperative and postoperative Hb and PLT,the length of hospitalizationin the two groups presented no statistical differences (P＞0.05).2) The volumes of intraoperative bleeding in the AAA group and the control group were 200 0 (120 0,350 0) vs 260 0 (100 0,387 5) (P=1.000).The unitsof intraoperative RBC salvagedwere 44 U vs 9 U;3) The amount of autologous RBC and platelet donation in the two groups were 68 U vs 4 U and 17 U vs 0 U,respectively.4) The amount of allogeneic RBCs,plasma and platelets transfused in the twogroups were 18 U vs 53 U,24 U vs 66 U,2 U vs 4 U,respectively.5) 5 of the 9 AAA-applied cases avoided allogeneic blood transfusion.Conclusion AAA is capable of large-volume collection of autologous RBCs and platelets and thusholds great potential inreducing the chance of allogeneic transfusions in major elective surgery.关键词
单采深度自体储血技术/储存式自体输血/术中自体血回输/巨大神经纤维瘤/大手术Key words
advanced autologous apheresis/preoperative autologous blood donation/intraoperative red blood cell salvage/giant neurofibroma/major surgery分类
医药卫生引用本文复制引用
陈冠伊,王丽华,吴靖辉,刘圣娥,陈蕾,杨金华,谷立男,卢祝杰,欧阳锡林..单采深度自体储血技术在巨大神经纤维瘤手术中的临床应用研究[J].中国输血杂志,2017,30(12):1333-1336,4.基金项目
北京市科技计划课题(Z151100003915108) （Z151100003915108）
