论文部分内容阅读
为探讨上消化道肿瘤患者手术中避免输血、且不影响手术质量的可行方法。选择上消化道肿瘤切除患者 2 0例 ,采取术中静脉注射止血药物、控制性降压和血液稀释 ,以减少术中失血 ,从而控制输血量。结果 :术中血压较麻醉前明显降低 (P<0 .0 1) ,HR、CVP无明显变化 (P>0 .0 5 ) ;患者人均失血量 (4 83.7± 2 90 .3) ml,占全血容量的 11.8% ,仅 2例关腹前 Hb<10 0 g/ L需输血外 ,其余 18例患者均未输血。提示静脉注射止血药物、控制性降压和血液稀释用于上消化道肿瘤手术可明显减少患者术中出血量 ,避免输血 ,且不影响手术质量及术后恢复。
To explore the feasibility of avoiding blood transfusion in patients with upper gastrointestinal cancer without affecting the quality of surgery. Twenty patients with upper gastrointestinal tumor resection were selected and intraoperative intravenous injections of hemostatic drugs, controlled blood pressure and hemodilution were performed to reduce intraoperative blood loss and control blood transfusion volume. Results: The intraoperative blood pressure was significantly lower than before the anesthesia (P < 0.01), there was no significant change in HR, CVP (P> 0.05); the patient’s blood loss per capita (4 83.7 ± 29.3) ml, accounting for Of the total blood volume of 11.8%, only 2 cases had blood transfusion before Hb<10 0 g/L before the abdomen was closed, and the remaining 18 patients had no blood transfusion. Intravenous injection of hemostatic drugs, controlled blood pressure and hemodilution for upper gastrointestinal cancer surgery can significantly reduce intraoperative blood loss and avoid blood transfusion without affecting the quality of surgery and postoperative recovery.