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结合临床实践分析了采用自体血回输成功抢救49 例失血性休克病人的情况。本组病人年龄15 ~60 岁,原发病主要有宫外孕破裂、外伤性肝脾破裂等。开腹后根据病人情况、腹腔积血情况( 时间长短,有无污染等) 回输自体血量150ml~2400 ml,平均830 ml,部分伴输库血,均获成功救治。因此认为自体血回输具有安全、快捷、无传染危险、不产生对血液成份的免疫反应等优点。但在操作时要注意防治输血反应,溶血及受到污染等问题。
Combined with clinical practice, 49 cases of hemorrhagic shock were successfully treated with autologous blood transfusion. The group of patients aged 15 to 60 years old, the primary disease is mainly ruptured ectopic pregnancy, traumatic rupture of liver and spleen. After laparotomy according to the patient’s condition, ascites (length of time, with or without pollution, etc.) back to the autologous blood volume 150ml ~ 2400ml, an average of 830ml, part of the transfusion blood, were successfully treated. Therefore, autologous blood transfusion that safe, fast, non-contagious danger, does not produce the immune response to blood components and so on. However, the operation should pay attention to prevention and treatment of transfusion reactions, hemolysis and contamination problems.