CAJ | 학술논문

目的：观察神经外科患者手术联合自体血回输的临床效果。方法：回顾性分析神经外科手术患者113例，所有患者均在气管插管全身麻醉下采用了自体血回输技术。比较术前和术后1、3 d血常规、凝血功能及电解质水平变化，并进行统计学分析。结果：术中经血液回收机回收洗涤后回输自体血为（262．53±163．41）mL。血红蛋白、红细胞压积和血小板术后1、3 d均较术前明显降低。术后1 d钾离子较术前明显升高，术后1、3d 钠离子及氯离子均较术前明显升高。结论：神经外科患者术中采用洗涤式自体血液回输安全、有效，既可节约血源，又可降低输注异体血的风险。
목적：관찰신경외과환자수술연합자체혈회수적림상효과。방법：회고성분석신경외과수술환자113례，소유환자균재기관삽관전신마취하채용료자체혈회수기술。비교술전화술후1、3 d혈상규、응혈공능급전해질수평변화，병진행통계학분석。결과：술중경혈액회수궤회수세조후회수자체혈위（262．53±163．41）mL。혈홍단백、홍세포압적화혈소판술후1、3 d균교술전명현강저。술후1 d갑리자교술전명현승고，술후1、3d 납리자급록리자균교술전명현승고。결론：신경외과환자술중채용세조식자체혈액회수안전、유효，기가절약혈원，우가강저수주이체혈적풍험。
Objective To observe the clinical effect of patients in the department of neurosurgeryoperation combined with autologous blood transfusion. Methods A retrospective analysis of 113 cases of operation patients in department of neurosurgery. All the patients were under general anesthesia using autologous blood transfusion. Thepreoperative , the first dayand the third day postoperative blood routine indexes , coagulation function examination and the electrolyte were analyzed. Resuits Theblood transfusion volume was (262.53 ± 163.41)mL. Hemoglobin , hematocrit and platelet count after 1 days and 3 days after operation were significantly lower than preoperative. The potassium ionsthat first day postoperation was significantly higher than preoperation , postoperative 1 day and the 3 day after the operation of sodium ions and chloride ions were significantly increased. Conclusion Patients in the department of neurosurgery of autologous blood transfusion is safe and effective, which can save the blood and reduce the risk of allogeneic blood transfusion.