心脏手术围术期血液保护研究进展.docx

心脏手术围术期血液保护研究进展熊际月??谭赵霞 杜磊△（四川大学 华西医院 麻醉科，四川 成都）?摘要： 心脏外科出血量多、用血量大，其客观原因是手术创面较大，加之血液肝素化、凝血因子、血小板破坏导致凝血功能异常，而患者对贫血耐受能力差，从而使血液需要量增加。对于此类手术，应当针对这些导致血液需要量增加的原因，实施系统的血液保护计划，以尽可能减少异体血需要量。AbstractAmountof banked blood is required because of massive blood loss during cardiacsurgery, which may due to major surgery wounds, blood heparinization andcoagulation dysfunction caused by platelet consumption and coagulation factorsdestruction. Because the poor tolerance of patients to anemia after cardiacsurgery, the requirement of allogeneic blood may increase. For these patients, therefore,a series of measure