闭合性自体脾血灌注回输在脾切除术中临床价值.docVIP

闭合性自体脾血灌注回输在脾切除术中临床价值 　　[摘要] 目的 探讨对脾切除术中的患者使用闭合性自体脾血灌注回输的临床效果。 方法 选择2013年2月～2016年2月我院收治的132例准备行脾切除手术的患者为研究对象，术中予患者闭合性自体脾血灌注回输，采取回顾性分析的方法对患者的成功率以及手术相关事项进行评估。 结果 使用闭合性自体脾血灌注回输成功的患者125例，成功率为94.70%；患者平均手术时间（28.51±7.16）min；患者的氧饱和度均在98%以上，平均灌注量（751.62±79.26）mL；术后有52例患者发生术后并发症，其中22例肝脏衰竭，7例循环血量负荷加大，23例出现不同部位感染，其中呼吸道感染最多。进行闭合性自体脾血灌注回输术后，患者的PT逐渐升高，Plt术中有所下降，但术后恢复正常，Fbg逐渐升高，术后的各项指标与术前进行对比，差异有统计学意义（P0.05）。 结论 对脾切除的患者使用闭合性自体脾血灌注回输的临床效果较高，手术整体成功率较高并且术后患者的并发症产生情况较低，术后患者的各项血液指标恢复正常，值得进一步的推广。 　　[关键词] 脾切除；闭合性自体脾血灌注回输；肝硬化；血常规 　　[中图分类号] R567.6 [文献标识码] B [文章编号] 1673-9701（2016）25-0039-03 　　Clinical value of closed autologous blood transfusion with splenic artery perfusion in splenectomy 　　CHI Xinfeng 　　Department of General Surgery， Fushun Central Hospital in Liaoning Province， Fushun 113006， China 　　[Abstract] Objective To explore the clinical effects of closed autologous blood transfusion with splenic artery perfusion in the patients receiving splenectomy. Methods 132 patients preparing to be given splenectomy who were admitted to our hospital from February 2013 to February 2016 were selected as research subjects. Retrospective analysis method was used in the article， and the successful rate of the above method used in the patients， as well as surgery-related issues were evaluated. Results Closed autologous blood transfusion with splenic artery perfusion was successful in 125 patients， with the successful rate of 94.70%. The average surgery time was（28.51±7.16） min. Blood routine test was carried out in the patients， which detected that the oxygen saturation was all above 98%， and the average perfusion volume was（751.62±79.26） mL. The postoperative conditions of the patients were analyzed， which detected that 52 patients showed postoperative complications， including 22 patients with liver failure， 7 patients with higher load of circulating blood volume， and 23 patients with infections， among whom the respiratory tract infection was the most. After closed autologous blood transf