中国输血杂志2023，Vol.36Issue(12)：1114-1118,5.DOI:10.13303/j.cjbt.issn.1004-549x.2023.12.008
回收式自体输血联合双侧髂内动脉预置术对出血高危患者在剖宫产术中的应用
Application of recovery autologous blood transfusion combined with bilateral internal iliac artery presetting in high-risk patients with hemorrhage during cesarean section
摘要
Abstract
Objective To explore the effect of recovery autologous blood transfusion combined with bilateral internal ili-ac artery presetting in high-risk patients with hemorrhage during cesarean section.Methods A total of 162 high-risk patients with hemorrhage who underwent cesarean section from January 2021 to May 2023 in our hospital were prospectively selected and divided into in Groups A,B,and C with 54 cases in each group according to the indications for the method of transfu-sion.Group A received allogeneic blood transfusion,Group B received autologous blood transfusion,Group C received autologous blood transfusion combined with bilateral internal iliac artery balloon presetting.Results Intraoperative blood loss(mL)(1 600 vs 1 500 vs 800),postoperative hospital stay(d)(7 vs 7 vs 6)and operative time(min)(107 vs 104.50 vs 77)in group C were all lower than those in group A and B(P＜0.05),with no difference between group A and B(P＞0.05);The autologous blood transfusion volume(mL)in group C was lower than that in group B(525.5 vs 261,P＜0.05).The proportion of allogeneic erythrocytes in group C was lower than that in group A(22.22%vs 100.00%,P＜0.016 7).The proportion of plasma in group C was lower than that in groups A and B(18.50%vs 66.70%/18.50%vs 44.40%,P＜0.016 7).The incidence of coagulating dysfunction in group C was lower than that in group A(7.41%vs 25.93%,P＜0.016 7).The incidence of hysterectomy in group C was lower than that in group A(1.85%vs 16.67%,P＜0.016 7),and there was no difference between group A and B(16.67%vs 11.11%,P＞0.016 7).Conclusion Recovery autologous blood transfusion combined with bilateral internal iliac artery balloon presetting in cesare-an section for high-risk patients with hemorrhage achieved ideal effects,which can significantly reduce intraoperative blood loss,intraoperative autologous blood transfusion,allogeneic red blood cells and plasma transfusion,as well as the operation time and postoperative hospital stay.In addition,it can improve the coagulation function and hysterectomy,which is condu-cive to ensuring the safety of maternal and promoting early rehabilitation,and preserving the fertility of patients to a certain extent,which is worthy of further clinical promotion.关键词
回收式自体输血/双侧髂内动脉预置术/出血高危患者/剖宫产术Key words
recovery autologous blood transfusion/bilateral internal iliac artery presetting/high-risk patients with hem-orrhage/cesarean section分类
医药卫生引用本文复制引用
方进龙,周晓琴,涂远艳,王向东,杨益刚,吴远军..回收式自体输血联合双侧髂内动脉预置术对出血高危患者在剖宫产术中的应用[J].中国输血杂志,2023,36(12):1114-1118,5.基金项目
东莞市社会发展科技面上项目(20211800901702) （20211800901702）
