【摘要】 目的探讨洗涤式自体血回输在急诊手术抢救中的临床应用,并提出相关护理措施。方法选取2011年5月—2014年7月东阳市人民医院收治的进行急诊手术抢救的患者60例作为研究对象,在进行手术时采用自体血液回收机将术中血液回收,经处理后形成浓缩红细胞回输至患者,观察并记录术中患者出血量与自体血回输量,同时对患者血常规、血液生化、凝血功能等情况进行检测,并观察患者有无输血反应、过敏、溶血及感染等并发症发生。采用SPSS 17.0统计学软件进行相关数据的统计学分析。结果 60例患者在术中输血量为500~2000ml,平均每例患者输血量为952 ml;所有患者均未发生输血反应,血液回输效果良好,无过敏、感染等输血并发症发生;与术前比较,术后24 h复查患者红细胞、白细胞、血红蛋白等水平均明显提高,差异均有统计学意义(t值分别为3.142、4.251、3.873,P<0.05);术后24 h复查患者的血液生化、凝血功能及电解质等指标结果无明显变化,手术前后比较差异均无统计学意义(P>0.05)。结论对急诊手术抢救中的患者应用洗涤式自体血回输效果较好,且安全、可靠,能有效节约血源,降低异体输血量,对降低术中、术后输血并发症的发生具有非常重要的意义。更多还原

【Abstract】 Objective To explore the clinical application of washing type of autologous blood doping in the emergency rescue,and put forward relevant nursing measures. Methods Selected 60 cases of patients who come to our hospital for emergency rescue at the time from May 2011 to July 2014,recover the blood using blood recycling machine and returning to the patients after processing,and detection of blood routine,blood biochemistry,blood coagulation function,etc. Using SPSS 17. 0 statistical software for statistical analysis of relevant data was conducted. Results The amount of blood transfusion of the patients been selected were 500 to 2000 ml,the average of them was 952 ml;all of them had no blood transfusion reaction,and had a good blood doping,no allergy and complications infection;the indicator of routine blood after 24 hours of them had a significantly improvement compared with before the surgery,the difference between different group had statistical significance( P < 0. 05);but the indicators of blood biochemistry,blood coagulation function and electrolytes of them had no change compared with before the surgery,which had no statistical significance between them( P > 0. 05).Conclusion There had a great clinical effect through using washing type of autologous blood doping in the emergency rescue,which can save blood source effectively,reduce the amount of allogeneic blood transfusion,and also can reduce the occurrence of complications.更多还原