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find Keyword "自身输血" 2 results
  • 加强环节管理是提高临床合理用血的重要手段

    目的 分析临床用血现状,探讨临床合理用血管理办法。 方法 通过健全组织机构、明确职责、制定切实可行的考核办法对临床用血进行强化管理。明确输血科在临床合理用血管理中的职能作用,发挥其在供血环节上的监督管理作用,提高临床合理用血。 结果 2010年手术台次同比增长4.40%,而临床用血同比下17.4%,血浆用量大幅下降,自身输血增长32.21%,合理用血水平不断提高。 结论 切实加强环节管理能有效提升临床合理用血水平。

    Release date:2016-09-08 09:16 Export PDF Favorites Scan
  • Clinical Application of Hemodilution Autotransfusion in Liver Resection for Patients with Hepatic Echinococcosis

    ObjectiveTo evaluate the effect of dilute autotransfusion in liver resection for patients with hepatic hydatid disease. MethodThirty patients with hepatic hydatid disease met the inclusion criteria were included. The changes of intraoperative hemodynamics, internal environment, and each system functions at different time point were observed. Results①There were no significant differences among mean arterial pressure, central venous pressure, heart rate in all the patients at each time point (P > 0.05), while, the other indexes including the concentrations of hemoglobin (Hb), hematocrit (Hct) after blood collection were all greatly lower than those before blood collection (P < 0.05), Na+, K+, Cl-, pH, and base excess after blood collection were all greatly lower than those before blood collection (P < 0.05). But all the indexes above mentioned (except for ph and base excess) returned to normal.②Compared with these indicators before surgery, the blood concentrations of AST, ALT, cardiac troponin I, and creatinin were all greatly increased (P < 0.05), the blood concentrations of Hb, Hct, platelet were all decreased apparently after surgery 1 day (P < 0.05). The prothrombin time and activated partial thromboplastin time were all prolonged (P < 0.05). But after surgery one week, those indicators had rebounded to the normal range. ConclusionThe application of dilute autotransfusion in liver surgery for patients with hepatic hydatid disease is safe, feasible, and saving.

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