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目的探讨血液回收机回输自体血在输卵管妊娠破裂致腹腔内出血患者中应用的安全性及有效性。方法2004年1月至2006年9月采用血液回收机对广州中医药大学第一附属医院71例输卵管妊娠破裂致腹腔内出血患者的血液回收、洗涤并回输,观测患者术前、术后第2天的血常规、凝血功能变化。结果每例平均回输自体浓缩红细胞(512.41±220.11)mL,95.8%患者(68/71)术中、术后不再输库存血;术后血液检测及凝血功能指标均接近正常;无一例患者发生输血反应。结论在抢救异位妊娠破裂致腹腔内大出血患者时,术中使用全自动血液回收机能快速地进行自体血回输,是安全、有效的方法,可显著节约血源。
Objective To investigate the safety and efficacy of blood transfusion machine autologous blood transfusion in patients with intraperitoneal hemorrhage caused by ruptured tubal pregnancy. Methods From January 2004 to September 2006, blood was collected from 71 patients with tubal rupture and intraperitoneal hemorrhage in the First Affiliated Hospital of Guangzhou University of Chinese Medicine by blood collection machine. The blood samples were collected, Days of blood, blood coagulation changes. Results Each patient received an average of 512.41 ± 220.11 mL of concentrated erythrocytes and 95.8% of the patients (68/71) without blood transfusion after operation. The blood tests and coagulation indexes were all close to normal after operation. None of the patients Transfusion reaction occurred. Conclusion In the rescue of patients with intra-abdominal massive hemorrhage caused by rupture of ectopic pregnancy, automatic blood transfusion can be used during surgery to transfuse autologous blood quickly and safely. It is a safe and effective method to save blood source significantly.