本文選題：貯存式自體輸血　切入點(diǎn)：擇期手術(shù)　出處：《中國輸血雜志》2017年07期

【摘要】：目的探討貯存式自體輸血(Preoperative autologous blood donation,PABD)在擇期手術(shù)中的應(yīng)用。方法回顧性分析2016年1月-2017年5月我院擇期手術(shù)進(jìn)行PABD的1 026例患者的臨床資料并與同期未進(jìn)行PABD的擇期手術(shù)患者進(jìn)行比較。結(jié)果 (1)我院進(jìn)行PABD的手術(shù)科室主要是神經(jīng)外科、泌尿外科、骨科、婦科及肝膽外科,分別占同期擇期手術(shù)患者的5.97%、4.90%、3.78%、3.76%及3.55%;(2)神經(jīng)外科、泌尿外科、骨科、婦科及肝膽外科擇期手術(shù)異體RBC輸血率,PABD組分別為5.66%、2.51%、4.89%、0及4.88%,非PABD組分別為25.46%、28.58%、24.77%、10.62%及17.54%;(3)術(shù)前血紅蛋白120 g/L組異體RBC輸血率顯著高于(120-129.9)g/L組、(130-139.9)g/L組及≥140 g/L組(7.65%vs 2.44%、3.66%及2.70%,P0.05)。結(jié)論 (1)綜合醫(yī)院開展PABD主要以神經(jīng)外科、泌尿外科、骨科、婦科及肝膽外科為主;(2)Hb水平120 g/L的擇期手術(shù)患者異體RBC輸血率高;(3)需要改良PABD才能使患者從PABD中獲益。
[Abstract]:Objective to investigate the application of preoperative autologous blood donationn (PABD) in selective operation. Methods the clinical data of 1 026 patients with PABD undergoing elective operation in our hospital from January 2016 to May 2017 were analyzed retrospectively, and the clinical data of 10 26 patients without PABD in the same period were analyzed retrospectively. Results 1) the surgical department of PABD in our hospital is mainly neurosurgery. Urology, orthopedics, gynecology and hepatobiliary surgery accounted for 5.97% of the patients undergoing elective surgery in the same period. The blood transfusion rate of allogeneic RBC in gynaecology and hepatobiliary surgery was 5.661g / L 5.666g / L and 4.89g / L respectively and 4.88g / L respectively. In the non-#en1# group, the blood transfusion rate of allogeneic RBC was significantly higher than that of 120-129.9g / L and 鈮，

本文編號(hào)：1688625