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目的:探讨术中血液回收在中央型前置胎盘先兆子宫破裂患者中的应用。方法:选择我院收治且接受手术治疗的中央型前置胎盘先兆子宫破裂患者100例作为研究对象,术中实施血液回收。观察患者血液回输后反应情况,同时比较手术前后的血常规及相关生化指标情况。结果:患者术中出血量为800~1400 ml,平均(1250±366)ml;回收血量为440~675 ml,平均(596±120)ml。所有患者均接受自体血回输,未输异体血。回输后,均未发生溶血、细菌感染、羊水栓塞以及其他不良反应,术后恢复好。患者手术前后血常规以及血液生化检测情况比较差异均无统计学意义(P>0.05)。结论:针对中央型前置胎盘先兆子宫破裂患者应用术中血液回收,可以有效缓解血液紧张的局面,能够有效提升手术抢救成功率,尤其是针对病情危急患者具有极大的推广应用价值。
Objective: To investigate the application of intraoperative blood collection in patients with central type placenta previa uterus rupture. Methods: 100 cases of central placenta previa rupture uterus ruptured in our hospital who underwent surgical treatment were chosen as the research object, and blood was collected during operation. Observe the response of patients after blood transfusion, at the same time compare the blood routine and related biochemical indexes before and after operation. Results: The intraoperative blood loss was 800 ~ 1400 ml (mean: 1250 ± 366) ml; the recovered blood volume was 440 ~ 675 ml (average: 596 ± 120) ml. All patients received autologous blood transfusion, did not lose allogeneic blood. After reinfusion, no hemolysis, bacterial infection, amniotic fluid embolism and other adverse reactions, postoperative recovery is good. Before and after surgery in patients with blood and blood biochemical tests showed no significant difference (P> 0.05). Conclusion: The application of intraoperative blood recovery for patients with central placenta previa rupture of uterus rupture can effectively relieve blood tension and effectively improve the success rate of surgical rescue, especially for patients with critical illness.