CAJ | 학술논문

目的：评价储存式自体输血在Rh（D）阴性血型孕妇中的应用情况。方法回顾性分析2011年1月~2014年10月我院收治的16例Rh（D）阴性血型孕妇的临床资料。结果16例Rh（D）阴性血型孕妇，采取时均未发生面色苍白，全身虚汗，手脚冰凉等严重献血不良反应；胎儿经胎心监护，无负荷试验，提示正常；且16例孕妇均进行了储存式自体输血，采血后24h 和回输血后的RBC、Hb、Hct、PLT指标变化与采血前比较，P>0.05，无明显差异性，产妇中无一例输异体红细胞，新生儿Apgar评分均在8~10分，属正常新生儿评级。结论储存式自体输血是解决Rh（D）阴性血型孕妇手术中血源紧张的重要途径，值得临床推广应用。
목적：평개저존식자체수혈재Rh（D）음성혈형잉부중적응용정황。방법회고성분석2011년1월~2014년10월아원수치적16례Rh（D）음성혈형잉부적림상자료。결과16례Rh（D）음성혈형잉부，채취시균미발생면색창백，전신허한，수각빙량등엄중헌혈불량반응；태인경태심감호，무부하시험，제시정상；차16례잉부균진행료저존식자체수혈，채혈후24h 화회수혈후적RBC、Hb、Hct、PLT지표변화여채혈전비교，P>0.05，무명현차이성，산부중무일례수이체홍세포，신생인Apgar평분균재8~10분，속정상신생인평급。결론저존식자체수혈시해결Rh（D）음성혈형잉부수술중혈원긴장적중요도경，치득림상추엄응용。
Objective To evaluate application situation of the storage type of autologous blood transfusion in Rh (D) in negative blood group of pregnant women. Methods A retrospective analysis of 16 cases of Rh from 2011 January to 2014 October in our hospital clinical data (D) negative blood of pregnant women. Results 16 cases of Rh (D) negative blood of pregnant women presented no pale, whole body sweating, cold hands and feet and other serious adverse reactions after blood donation, the stress test of fetal heart monitoring to fetal non,indicated normal, and 16 cases of pregnant women were autologous blood transfusion, after 24h and after RBC, Hb, Hct, PLT indexes before blood collection and comparison, P>0.05, no significant differences, no cases of allogeneic red blood cells in maternal, neonatal Apgar score were at 8~10, was a normal neonatal rating. Conclusion Storage autotransfusion was an important way to solve the Rh (D) negative blood type pregnant women in the operation of blood source nervous, was worthy of clinical application.