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我们应用胸血自体回输的方法,成功地抢救24例严重胸外伤合并失血性休克的病人,平均每例回输胸血1850ml,最多1例回输胸血4100ml。全部病人均治愈,无感染及死亡。我们的体会是,选择伤后24小时之内无明显污染的胸血,合理使用广谱抗生素防治感染,胸血回输用于抢救创伤失血性休克是一个安全、有效的方法,特别是在杜绝输血引起的传染性肝炙和AIDS方面,有着积极的作用。
We applied the method of thoracic blood autotransfusion, successfully rescuing 24 patients with severe thoracic injury and hemorrhagic shock, with an average of 1850ml of chest blood transfusions and a maximum of 1 case of 4100ml of chest blood transfusions. All patients were cured, no infection and death. Our experience is that the choice of 24 hours after injury without obvious pollution of the chest blood, the rational use of broad-spectrum antibiotics to prevent infection, chest blood transfusion for the treatment of traumatic hemorrhagic shock is a safe and effective method, especially in the elimination of Transfusion-induced infectious liverburn and AIDS, has a positive effect.