CAJ | 학술논문

目的：研究腹腔积血回输在腹内脏器损伤大量出血合并贫血患者中的应用价值，评估回收式自体输血对患者血常规各项指标及凝血功能的影响，评价自体输血对患者的救治效果。方法对75例腹内脏器损伤大量出血合并贫血的患者进行术中自体腹腔积血回输，将术前及术后的贫血指标及凝血指标进行比较；对救治效果进行评价。结果75例患者除1例死于脑外伤外，其余74例治愈。术后第2天复查，红细胞、血红蛋白、红细胞比容、血小板均有升高，与术前比较，差异均有统计学意义（均P＜0．01）。凝血功能各项指标与术前比较，差异均无统计学意义（均P＞0．05）。结论回收式自体输血在腹内脏器损伤大量出血合并贫血的抢救中可及时有效改善贫血，对凝血功能无明显影响，救治效果良好，在基层医院具有重要应用价值。
목적：연구복강적혈회수재복내장기손상대량출혈합병빈혈환자중적응용개치，평고회수식자체수혈대환자혈상규각항지표급응혈공능적영향，평개자체수혈대환자적구치효과。방법대75례복내장기손상대량출혈합병빈혈적환자진행술중자체복강적혈회수，장술전급술후적빈혈지표급응혈지표진행비교；대구치효과진행평개。결과75례환자제1례사우뇌외상외，기여74례치유。술후제2천복사，홍세포、혈홍단백、홍세포비용、혈소판균유승고，여술전비교，차이균유통계학의의（균P＜0．01）。응혈공능각항지표여술전비교，차이균무통계학의의（균P＞0．05）。결론회수식자체수혈재복내장기손상대량출혈합병빈혈적창구중가급시유효개선빈혈，대응혈공능무명현영향，구치효과량호，재기층의원구유중요응용개치。
Objective To study application of hematocoelia reinjection in abdominal injury with massive hemorrhage and anemia ,and to estimate the impact of salvaged autotransfusion on blood routine and blood coagulation of patients.Methods In 75 patients with intra-abdominal injury bleeding anemia undergoing autologous hematocoelia reinfusion,compare the anemia index and coagulation indexes before and after surgery to evaluate the therapeutic effect.Results Among 75 cases,1 cases died of brain injury,the other 74 cases were cured.After the second days of review,red blood cell,hemoglobin,hematocrit,platelet were elevated,compared with preoperative,the differences were statistically significant(all P<0.01).Comparison of each index function and coagulation before operation ,the differ-ences were statistically significant (all P>0.05).Conclusion Salvaged autotransfusion can improve anemia prompt-ly without any impact on coagulation function in rescuing abdominal injured patients with massive hemorrhage and a -nemia.The treatment is effective .It has an important application in primary hospital .