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目的:自体血液回收技术在高原创伤失血性休克手术急救中的应用效果及价值。方法:采用自体-2000型血液回收机对50例不同类型的高原创伤失血性休克手术患者体腔内或手术创面的血液通过过滤、离心、清洗、净化处理,形成浓缩的红细胞,在手术中回输给患者。记录术中回收的原血量和血液回收机处理后的浓缩红细胞量,观察自体血回输前后的白细胞计数(WBC)、红细胞计数(RBC)、血红蛋白量(HB)、红细胞压积(HCT)、血小板计数(PLT)的变化情况,并观察有无输血反应。结果:本组50例,术中回收原血共43 970m L,经血液回收机处理后的浓缩红细胞是29 920m L。无1例出现输血反应和感染。结论:自体血液回收技术能有效减少术中血液丢失,血液回输后效果良好,无输血反应,术后并发症少。能缓解血源不足,避免输异体血带来的危害,值得临床推广。
Objective: The effect and value of autologous blood recovery technique in emergency treatment of traumatic hemorrhagic shock in plateau. Methods: The blood of body cavity or surgical wound of 50 patients with different types of plateau traumatic hemorrhagic shock patients was filtered, centrifuged, cleaned and purificated by autologous-2000 blood collection machine to form concentrated red blood cells, which were transfused in operation To the patient. The amount of blood recovered during the operation and the volume of concentrated red blood cells treated by the blood collection machine were recorded. The white blood cell count, red blood cell count, hemoglobin, and hematocrit before and after autologous blood transfusion were recorded. , Platelet count (PLT) changes, and observe whether the transfusion reaction. Results: The group of 50 patients, the recovery of the original blood total of 43 970m L, after the blood collection machine treated concentrated erythrocytes is 29 920m L. No case of transfusion reaction and infection. Conclusion: Autologous blood recovery can effectively reduce intraoperative blood loss, blood transfusion after a good effect, no transfusion reaction, less postoperative complications. Can ease the lack of blood to avoid the dangers of transfusion of blood, it is worth clinical promotion.