应用不同洗涤液对自体输血红细胞pH值和电解质的影响.pdfVIP

• 2100 • 医学l临床研究 2010 年 11 月第27 卷第11 期 J Clin Res.Nov. 2010. Vol 27. No ll ·论著· 应用不同洗涤液对自体输血红细胞 pH 值和电解质的影晌 彭罗方李忠 (中南大学湘雅医院乎术宽，湖南 长沙 410078) [摘要](网的】比较使用三种不同洗涤波对自体输血红细胞 pH 位和电解质的影响总卉。 E方法3术中洗涤式 自体输血患者 90 例，随机分为三组.A 组采用生理E 盐水，B 组采用革方氯化价溶浪.C 组采用乳曲直纳林格液分别 对回收Jrz. 洗涤并回输.比较二二组手术前、四输前、回输后及洗涤后红细胞的 pH 锐和电解质变化情况。 E 结采]A、 日两组患者回输后红细胞 pH 值较手术前降低，血 Cl- 校子术前升高，C 纽各项指标元明显改变。洗#告后红细胞 与人体正常值比较:A、日两级 pH 位较正常健低.C 组与正常值元差异p 三级 Na+ 均较人体正常值高，组问 A 组 Na! 增高交加明.I. ;A、日组 CI- 均较人体.iE.常f最高 .C 组与正常俄比较元统计学差异。 A 纽 K+ 、 Ca2+均较人体.iE. 常值低.B、 C 组与正常值元差异。 E结论】自体输血时采用生理盐水和复方氯化纳洛液洗涤，可使患者红细胞 pH 值降低，血 Cl- 升高.在大受输入自体血时有产生高..性量盘中毒的It 险，使用乳酸纳林格涣可改荔it 卢状况。 [关键词〕 输血，自体; 氢离子浓度; 电解质 Influence of Washing Autotransfusion with Different Washing Liquid 00 PH aod Electrolyt四 PENGLuo户/a略• LI Si ( L忡。rtment 0/ Operatíng Room. Xiangya Hospital , Central South University , αangsha 410078. China ) [Abstract](Objective] To compare the inf1 uences of washing autotransfusion with three different washing li旷 uíd on PH and electrolytes. Methods] A total of 90 patients experienced intraoperative washing autotransfusion were enrolled in this study. All patients were divíded ínto three groups randomly. Normal saline was used during autotransfusion in group A , and compound sodium chloride was used for group B. and Ringe臼 lactate solution was used for group C. The changes of PH and electrolytes before operation , before and after autotransfusion and after washing were compared among three groups. (Results] Compared with before operation , PH decreased and blood Cl- increased after autotransfusion in group A and g,roup B, but there was no change in group C. Compared with normal reference value of erythrocytes after washin鸣. PH decreased in group