术中自体血回输在抢救失血性休克患者中的效果观察

摘要

Objective To study the effects of intraoperative blood salvage (IBS) in rescuing patients with hemorrhagic shock .Methods Effects of 15 cases of hemorrhagic shock during 2012 to 2013 undergoing IBS were reviewed .Before and after 20 minutes of IBS ,radial artery blood arterial was extracted to blood gas analysis . Hemoglobin concentration (Hb ) , hematocrit (Hct ) , pH , electrolyte levels ,systolic blood pressure (SBP) ,diastolic blood pressure (DBP) ,heart rate (HR) at two periods were recorded .Results After IBS ,the Hb、Hct、SBP、DBP levels showed significantly increases .Hb had increased from (53 O.33 ± 21 .47)g/L to (70 .60 ± 21 .82)g/L ,Hct from (17 .80 ± 6 .37)% to (23 .3 ± 5 .42)% ,SBP from (83 .53 ± 10 .41)mmHg to(104 .20 ± 13 .46)mmHg ,DBP from (48 .53 ± 6 .43)mmHg to (65 .07 ± 7 .97)mmHg .HR had reduced from(118 .07 ± 14 .87)bpm to (88 .27 ± 15 .15)bpm .Conclusion IBS is able to maintain circular stability ,improve the success rate of rescue .%目的：分析术中回收式自体输血（IBS ）在抢救失血性休克手术患者中的应用效果与术中配合。方法回顾2012～2013年15例失血性休克患者抢救中行IBS的应用效果。在回输自体血前后20 min ，分别抽取桡动脉血行动脉血气分析，检测血红蛋白浓度（Hb）、红细胞比容（Hct）、酸碱度及电解质水平，同时记录这两个时段的收缩压（SBP）、舒张压（DBP）、心率（HR）变化。结果回输后 Hb、Hct、SBP、DBP均有明显提高，Hb由（53北．33±21．47） g/L升至（70．60±21．82） g/L ， Hct由（17．80±6．37）％升至（23．3±5．42）％，SBP由（83．53±10．41） mmHg 升至（104．20±13．46） mmHg ，DBP由（48．53±6．43） mmHg升至（65．07±7．97） mmHg ，HR由（118．07±14．87） bpm降至（88．27±15．15）bpm。结论 IBS能维持有效循环的稳定，安全有效，提高抢救成功率。