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小儿心内直视手术期间实施血液保护的临床观察

Clinical Observation on Effects of Blood Conservation in Open-heart Surgery Period

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【作者】 张溪英童易如王江平黄胜卢小燕屈双权

【Author】 ZHANG Xi-ying,TONG Yi-ru, WANG Jiang-bing,et al Department of Anesthesialogy,Hunan Provincal Childrens Hospital Changsha,410007 China

【机构】 湖南省儿童医院麻醉科湖南省儿童医院麻醉科 湖南 长沙 410007湖南 长沙 410007湖南 长沙 410007

【摘要】 目的 观察小儿心内直视手术中血液保护的临床效果。方法将小儿心内直视手术160例平均分为2组:N组(n=80)为观察组,采用血液麻醉等综合措施实施血液保护,O组(n=80)为对照组,按常规实施麻醉。结果N组手术时间、主动脉阻断时间均较O组缩短,两组比较有显著性差异(p<0.05)。总输血量N组低于O组。输血率N组明显低于O组,两组比较有显著性差异(p<0.05)。结论小儿心内直视手术麻醉中实施血液麻醉等综合措施,可有效减少失血量,明显降低输血率。血液保护和节约用血的效果显著。

【Abstract】 Objective To observe the clinical effects of blood conservation in open-heart surgery. Methods 160 children were equally divided into two groups blood anesthesia group (experimental group n=80)and general anesthesia group(control group, n=80).Results opreration time and aorta occlusion time in the experimental group was shorter than in the control group .there was significant difference between the two groups (p<0.05 ),total volume of blood transfusion.rate of blood transfusion in the experimental group decreased significantly, there was significant difference between the two groups (p< 0.05 ). Conclusions By blood anesthesia comprehensive means etc in open-heart surgery of children could reduce the loss of blood volume effectively ,decrease the rate of blood transfusion significantly ,in especially migth obtain blood conservation and save the blood volume .

  • 【文献出处】 临床小儿外科杂志 ,Journal of Clinical Pediatric Surgery , 编辑部邮箱 ,2002年04期
  • 【分类号】R726.54
  • 【被引频次】4
  • 【下载频次】25
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