CAJ | 학술논문

目的：为贮存式自身输血（PABD）在临床上的应用提供参考。方法选取34例符合 PABD 条件并进行了 PABD 的外科择期手术患者，观察采血前和回输后患者血红蛋白（Hb）、 RBC、WBC、PLT、红细胞比容（HCT）5项血液学指标，以及患者术前备血和术中、术后用血量。结果只进行自身输血的患者（A 组）采血前和回输后（术中或者术后24 h 内）的5项血液学指标进行比较，差异均有统计学意义（P ＜0．05）。其中 RBC、Hb、HCT、PLT 都下降（P＜0．05），WBC 则上上升（P ＜0．05）。既进行了自身输血又进行了异体输血的患者（B 组）的实验室检查结果也有相似的情况，RBC、Hb、HCT、PLT 都下降（P ＜0．05），WBC 则升（P ＜0．05）。两组患者间比较，采血前和回输后的5项血液学指标差异均无统计学意义（P ＞0．05）。结论 PABD 在外科择期手术患者中的应用效果较好，不会对患者的身体造成损害（体现在血液学指标上），但个别病例中对于术前失血量的评估还不够准确，导致所采集的自身血液不能满足临床需求，影响 PABD 的实施效果。
목적：위저존식자신수혈（PABD）재림상상적응용제공삼고。방법선취34례부합 PABD 조건병진행료 PABD 적외과택기수술환자，관찰채혈전화회수후환자혈홍단백（Hb）、 RBC、WBC、PLT、홍세포비용（HCT）5항혈액학지표，이급환자술전비혈화술중、술후용혈량。결과지진행자신수혈적환자（A 조）채혈전화회수후（술중혹자술후24 h 내）적5항혈액학지표진행비교，차이균유통계학의의（P ＜0．05）。기중 RBC、Hb、HCT、PLT 도하강（P＜0．05），WBC 칙상상승（P ＜0．05）。기진행료자신수혈우진행료이체수혈적환자（B 조）적실험실검사결과야유상사적정황，RBC、Hb、HCT、PLT 도하강（P ＜0．05），WBC 칙승（P ＜0．05）。량조환자간비교，채혈전화회수후적5항혈액학지표차이균무통계학의의（P ＞0．05）。결론 PABD 재외과택기수술환자중적응용효과교호，불회대환자적신체조성손해（체현재혈액학지표상），단개별병례중대우술전실혈량적평고환불구준학，도치소채집적자신혈액불능만족림상수구，영향 PABD 적실시효과。
Objective To provide reference for the clinical application of preoperative autologous blood donation(PABD).Meth-ods 34 patients met the conditions of PABD,and underwent PABD were enrolled in the study.Five laboratory indicators include Hemoglobin(Hb),RBC,WBC,PLT)and hematocrit(HCT),and prepared blood volume before surgery,intraoperative and postop-erative reinfusion volume were recorded before blood collection and after reinfusion.Results In the patients who only underwent PABD(A group),compared between before blood collection and after blood transfusion(intraoperative or postoperative 24 h),all the five Hematology Index were statistically different(P <0.05).The RBC,Hb,HCT,PLT were decreased(P <0.05),while WBC increased(P <0.05).In patients underwent both PABD and allogeneic blood transfusion blood(group B),the five laboratory indica-tors showed a similar pattern:RBC,Hb,HCT,PLT decreased (P <0.05),while WBC increased(P <0.05).In the comparison be-tween the two groups,the five indicators before blood collection and after reinfusion were not statistically different(P >0.05).Con-clusion The effective of PABD application in surgical patients undergoing elective operation is good,which won′t cause harm to the patient′s body(reflected in the hematology indicators).However,in some cases preoperative assessment of blood loss is not accurate enough,result in the amount of blood collected before operaton not meeting the needs,which might impact the effect PABD.