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目的:探讨自体血回输在抢救宫外孕中的安全性和效果。方法:回顾性分析天津市第四医院自2007年2月～2008年12月利用血液回收机进行术中自体血回输抢救52例宫外孕及失血性休克患者的临床资料。结果:52例共回输自体血29200 ml,回输250～500 ml者20例,500～1 000 ml者25例,1 100～1 500 ml者7例。平均回输561.54 ml。自体血回输成功地抢救了52例宫外孕失血及休克的患者,有效地纠正了贫血,无异体输血病例,无发生合并症病例。回输后与回输前Hb和HCT水平比较有统计学差异(P<0.05)。结论:自体血回输是在抢救宫外孕中,迅速恢复血容量、纠正休克、缓解血源紧张安全有效的措施,是一种值得推广的方法。
Objective: To explore the safety and efficacy of autologous blood transfusion in the rescue of ectopic pregnancy. Methods: The clinical data of 52 cases of ectopic pregnancy and hemorrhagic shock in Tianjin Fourth Hospital from February 2007 to December 2008 were retrospectively analyzed. Results: Totally 52 autologous blood samples were returned to the hospital for 29,200 ml. Twenty patients returned 250 to 500 ml, 25 patients 500 to 1 000 ml and 7 patients 1 100 to 1 500 ml. The average return of 561.54 ml. Autologous blood transfusion successfully rescued 52 cases of ectopic pregnancy hemorrhage and shock patients, effectively corrected anemia, no allogenic blood transfusion cases, no complications occurred. There was a significant difference between the levels of Hb and HCT before and after reinfusion (P <0.05). Conclusion: Autologous blood transfusion is a safe and effective measure in rescuing ectopic pregnancy, rapidly recovering blood volume, correcting shock, and easing blood tension. Therefore, it is worth popularizing.