本文選題：先天性心臟病　切入點(diǎn)：無血手術(shù)治療　出處：《中國輸血雜志》2017年07期

【摘要】：目的探討先天性心臟病患者實(shí)施無血手術(shù)策略的可行性,以應(yīng)對血液資源緊張現(xiàn)狀,提高臨床科學(xué)用血水平。方法選擇2014年1月至2016年12月期間在本院心胸外科和新生兒科住院治療的先天性心臟病患者160例,根據(jù)患者圍手術(shù)期用血情況將患者分為無血手術(shù)實(shí)驗(yàn)組(n=69)和輸血治療對照組(n=91),比較2組患者的基本資料,包括年齡、體重及GCS評(píng)分,術(shù)前至術(shù)后3 d血紅蛋白(Hb)、術(shù)中至術(shù)后3 d胸腔積液引流量、術(shù)中體外循環(huán)時(shí)間、機(jī)械通氣時(shí)間、阻斷時(shí)間、ICU天數(shù)、術(shù)后住院天數(shù)、總住院天數(shù)、再次插管和2次手術(shù)指標(biāo),以探討先天性心臟病患者實(shí)施無血手術(shù)策略的療效。結(jié)果 1)2組患者年齡、體重及GCS評(píng)分間差異不具統(tǒng)計(jì)學(xué)意義(P0.05);2)2組患者Hb、術(shù)中至術(shù)后胸腔積液引流量間差異均不具統(tǒng)計(jì)學(xué)意義(P0.05);3)2組患者體外循環(huán)時(shí)間、機(jī)械通氣時(shí)間、阻斷時(shí)間、再次插管、2次手術(shù)和ICU天數(shù)間差異亦均不具統(tǒng)計(jì)學(xué)意義(P0.05);但無血手術(shù)實(shí)驗(yàn)組患者術(shù)后住院天數(shù)和總住院時(shí)間明顯低于對照組(P0.05)。結(jié)論先天性心臟病患者實(shí)施無血手術(shù)具有安全性和可行性,并且可一定程度上縮短了患者住院時(shí)間,值得在臨床手術(shù)治療中推廣應(yīng)用。
[Abstract]:Objective to explore the feasibility of blood free operation in patients with congenital heart disease, and to deal with the current situation of blood shortage. Methods 160 patients with congenital heart disease who were hospitalized in cardiothoracic surgery and pediatrics from January 2014 to December 2016 were selected. The patients were divided into two groups according to their blood use in perioperative period. The patients were divided into two groups: the experimental group without blood and the control group with blood transfusion. The basic data of the two groups were compared, including age, weight and GCS score. From 3 days to 3 days after operation, hemoglobin was used to drain the pleural effusion, time of extracorporeal circulation, time of mechanical ventilation, time of blocking ICU, days of hospitalization after operation, days of total hospitalization, re-intubation and two operations. To investigate the effect of blood free operation in patients with congenital heart disease. There was no significant difference in body weight and GCS score between two groups. There was no significant difference between operation and postoperative pleural effusion drainage flow. There was no significant difference in cardiopulmonary bypass time, mechanical ventilation time and blocking time between operation and postoperative pleural effusion drainage. There was no significant difference between the days of re-intubation and ICU, but the days of hospitalization and total hospital stay in the experimental group were significantly lower than those in the control group. Conclusion the patients with congenital heart disease have no blood hand. The procedure is safe and feasible. And it can shorten the hospitalization time to some extent, which is worth popularizing in the clinical operation treatment.
【作者單位】： 南昌大學(xué)第一附屬醫(yī)院輸血科;
【基金】：江西省科技重大項(xiàng)目(20144BBG70001)
【分類號(hào)】：R457.1;R726.5
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本文編號(hào)：1669765