CAJ | 학술논문

目的：观察贮存式自体血回输在外科手术中的临床疗效，并讨论其应用价值，从而舒缓血液紧张的现状。方法：将2014年外科病房60例手术患者，分为自体输血组和异体输血组，对两组患者的输血量及术前、术后红细胞（RBC）、血红蛋白（Hb）、红细胞比容（Hct）的变化进行比较分析。结果：（1）自体输血组患者平均采血量为（460±50）mL，平均输血量为（485±73）mL，其中3例患者因手术中失血较多需要同时输入库存的异体血；而异体输血组患者平均输血量为（500±55）mL，与自体输血组相比较，输血量不具有显著性差异。（2）两组患者手术前、手术后红细胞数量、血红蛋白及红细胞比容的差值存在统计学差异（P<0.05）。结论：贮存式自体血回输作为临床的一种常用治疗手段，对于外科手术而言是一种安全、有效、经济、便捷的输血方式，是缓解血源紧张较理想的方法之一，值得临床应用推广。
목적：관찰저존식자체혈회수재외과수술중적림상료효，병토론기응용개치，종이서완혈액긴장적현상。방법：장2014년외과병방60례수술환자，분위자체수혈조화이체수혈조，대량조환자적수혈량급술전、술후홍세포（RBC）、혈홍단백（Hb）、홍세포비용（Hct）적변화진행비교분석。결과：（1）자체수혈조환자평균채혈량위（460±50）mL，평균수혈량위（485±73）mL，기중3례환자인수술중실혈교다수요동시수입고존적이체혈；이이체수혈조환자평균수혈량위（500±55）mL，여자체수혈조상비교，수혈량불구유현저성차이。（2）량조환자수술전、수술후홍세포수량、혈홍단백급홍세포비용적차치존재통계학차이（P<0.05）。결론：저존식자체혈회수작위림상적일충상용치료수단，대우외과수술이언시일충안전、유효、경제、편첩적수혈방식，시완해혈원긴장교이상적방법지일，치득림상응용추엄。
Objective:To observe the clinical curative effect in surgery of the storage type of autologous blood transfusion and discuss its application value, thereby relieving blood tension of the status quo.Method:60 patients with surgery from January to December 2014 were divided into autotransfusion group and allogeneic blood transfusion group. The amount of blood transfusion of the two groups during surgery was compared, red blood cells (RBC), hemoglobin (Hb) and hematocrit (Hct)were compared before and after surgery between the two groups.Result:(1)The average blood collection of autologous blood transfusion patients is(460±50) mL, the average amount of blood transfusion was (485±73)mL,In the autologous blood transfusion group,3 patients needed to input the inventory of allogeneic blood due to blood loss in the operation.The amount of blood transfusions of allogeneic blood transfusion group was(500±55) mL on average.The blood transfusion amount between of the two groups had no significant difference.(2) The difference of the amount of red blood cell,hemoglobin and heamatocrit before and after surgical procedures between the two group was statistically significant(P<0.05).Conclusion:Storage type of autologous blood transfusion, as a kind of commonly used clinical treatments, is a safe, effective, economical and convenient way of blood transfusion in surgery.It is one of the ways to relieve the strain of blood resources,which is worth clinical promotion.