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目的观察贮存式自体输血在Rh(D)阴性孕妇中的效果。方法选择Rh(D)阴性孕妇42名进行贮存式自体输血,比较贮存式自体输血组孕妇采血前后及分娩前后3 d RBC、Hb、Hct、Plt数量,并观察妊娠结局及母婴预后。结果 42名妊娠晚期Rh(D)阴性孕妇采血前后及分娩前后3 d血常规主要指标RBC、Hb、Hct、Plt比较不具统计学意义(P>0.05);随访产(术)后母婴情况良好,新生儿结局无不良反应,Apgar评分为9～10分;自体血液回输时无任何输血不良反应,也未输异体血。结论妊娠晚期贮存式自体输血对Rh(D)阴性孕妇的血液主要指标RBC、Hb、Hct、Plt数量不会产生明显的影响,且母婴预后良好,认为是可行且有效的。
Objective To observe the effect of stored autologous blood transfusion on Rh (D) negative pregnant women. Methods Forty - two Rh (D) negative pregnant women were selected for autologous blood transfusion. The numbers of RBC, Hb, Hct and Plt before and after blood collection and before and after delivery were compared between the two groups. The pregnancy outcome and the prognosis of both mother and child were observed. Results The blood routine indexes of RBC, Hb, Hct and Plt of 42 pregnant women with Rh (D) -negative pregnant women before and after blood collection and 3 days before delivery were not statistically significant (P> 0.05). After follow-up, , Neonatal outcome no adverse reactions, Apgar score of 9 to 10; autologous blood transfusion without any adverse transfusion, nor allogeneic blood. CONCLUSION: The storage-type autologous blood transfusion in late pregnancy does not have a significant effect on the number of RBC, Hb, Hct and Plt in Rh (D) -negative pregnant women, and the prognosis is good, which is considered feasible and effective.