摘要
目的探讨体外循环心脏术围手术期血液保护的新方法,减少异体输血用量。方法在体外循环心脏手术围术期采用血液稀释、自体输血、控制性降压、微创小切口、合理应用抗纤溶制剂和促红细胞生成素等方法,减少手术中出血,促进血细胞生成,从而减少异体血用量。结果本组260例患者中,只有28例患者输注异体血,异体血输注率仅为10.77%。结论围术期血液保护是减少体外循环心脏手术异体输血用量的有效方法。
Objective To explore a new method of perioperative blood conservation for cardiac surgery with cardiopulmonary bypass,and to reduce the dosage of allogeneic blood transfusion.Methods Hemodilution,autologous blood transfusion,controlling blood pressure,minimally invasive,reasonable application of antifibrinolytic agents and erythropoietin（E PO） were used in cardiac surgery with cardiopulmonary bypass in perioperative to reduce operation hemorrhage,and pro mote blood cell formation,thus to reduce the usage of allogeneic blood.Results Out of 260 patients in this group,only 28 patients were given the allogeneic blood,with the rate of allogeneic transfusion was only10.77%.Conclusion Perioperative blood protection is an effective method to reduce the usage of allogeneic blood of cardiopulmonary bypass.
出处
《中国当代医药》
2012年第29期179-180,共2页
China Modern Medicine
关键词
体外循环
血液保护
围术期输血
心脏手术
Cardiopulmonary bypass
Blood protection
Blood transfusion in perioperative
Heart surgery
