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目的 探讨腹腔镜手术治疗异位妊娠的适应证及应用自体输血的临床价值。方法 应用自体输血的方法，在腹腔镜下手术治疗１５ 例异位妊娠腹腔内出血＞ ６００ ｍ ｌ的病例。对其手术适应证的选择，手术器械的改进，麻醉选择进行探讨。结果 腹腔内出血量平均９８０ ｍ ｌ，自体输血量平均７１２．５ ｍ ｌ，平均手术时间４６．５ ｍ ｉｎ，术后恢复良好。结论 认为腹腔镜手术治疗异位妊娠腹腔内出血＞ １ ０００ ｍ ｌ者，宜选择全麻。自体输血吸管改用开腹手术一次性吸管，吸血快、完全，节省血源和治疗费用
Objective To investigate the indications of laparoscopic surgery for ectopic pregnancy and the clinical value of autologous transfusion. Methods 15 cases of ectopic pregnancy with intraperitoneal hemorrhage> 600 ml were treated by laparoscopic surgery with autologous transfusion method. The choice of surgical indications, surgical instruments, anesthesia options to explore. Results Intraperitoneal hemorrhage averaged 980 m l, autologous blood transfusion volume averaged 712.5 m l, the average operation time was 46.5 mins, postoperative recovery was good. Conclusions that laparoscopic surgery for ectopic pregnancy intraperitoneal hemorrhage> 1000 m l, should choose general anesthesia. Transfusion of autologous blood transfusion to laparotomy disposable pipette, fast vampire, complete, save blood and treatment costs