中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2010年
5期
120-121
,共2页
自体输血%创伤性血胸%休克
自體輸血%創傷性血胸%休剋
자체수혈%창상성혈흉%휴극
Autotransfusion%Traumatic hemathorax%shock
目的 探讨在急诊抢救创伤性血胸患者时胸腔血自体回输的方法及其应用价值.方法 采用胸腔闭式引流术,将胸腔内血液引流并用一次性采血袋收集、再将血液回输.结果 37例中34例经过使用上述方法后失血性休克得到纠正,生命体征平稳,获得了进一步治疗的时机.3例严重多发伤虽经积极抢救仍无法挽回生命.全部病例均未出现明显并发症.结论 对中等量以上、无明显污染的胸腔血自体回输是一种安全、有效、经济、方便的方法,并能快速纠正失血性休克,为患者赢得抢救时机.
目的 探討在急診搶救創傷性血胸患者時胸腔血自體迴輸的方法及其應用價值.方法 採用胸腔閉式引流術,將胸腔內血液引流併用一次性採血袋收集、再將血液迴輸.結果 37例中34例經過使用上述方法後失血性休剋得到糾正,生命體徵平穩,穫得瞭進一步治療的時機.3例嚴重多髮傷雖經積極搶救仍無法輓迴生命.全部病例均未齣現明顯併髮癥.結論 對中等量以上、無明顯汙染的胸腔血自體迴輸是一種安全、有效、經濟、方便的方法,併能快速糾正失血性休剋,為患者贏得搶救時機.
목적 탐토재급진창구창상성혈흉환자시흉강혈자체회수적방법급기응용개치.방법 채용흉강폐식인류술,장흉강내혈액인류병용일차성채혈대수집、재장혈액회수.결과 37례중34례경과사용상술방법후실혈성휴극득도규정,생명체정평은,획득료진일보치료적시궤.3례엄중다발상수경적겁창구잉무법만회생명.전부병례균미출현명현병발증.결론 대중등량이상、무명현오염적흉강혈자체회수시일충안전、유효、경제、방편적방법,병능쾌속규정실혈성휴극,위환자영득창구시궤.
Objective To research the significance and safety of autotransfusion in rescuing for hemathorax patients.Methods After confirmed diagnosis of hemathorax(above medium amount),we all performed the close drainage of thoracic cavity for patients,and gave them autotransfusion which drainaged from thoracic cavity.Results Among 37 patients with hemathorax,34 cases were given autotransfusion promptly in early stage,and got alleviation,saving enough time for continued treatment and got excellent effect,only 3 cases were lately given autotransfusion and also lack heterogenous blood transfusion,the patient died of hypovolemic shock,the others had no severe complication.Conclusion To collect the blood in thoracic cavity without severe contamination,and give prompt autotr ansfusion to the hemathorax patients,it is a kind of safe,efficient,economic and rapid method to compensate blood loss.
