陈思宇 郑宏 王江

    [摘要] 目的 分析自体血连续回输机在凶险型前置胎盘患者剖宫产术中的应用效果。 方法 回顾性分析2016年7月～2018年8月于新疆医科大学第一附属医院确诊为凶险型前置胎盘行子宫下段剖宫产术的120例患者，按术中是否有使用自体血连续回输机将其分为A组(n = 60)和B组(n = 60)，A组60例患者在术中有应用自体血连续回输机，B组60例患者术中未应用自体血连续回输机。比较两组术中出血量、血液回输情况及其各项血液检查指标。 结果 两组术中出血量比较，差异无统计学意义(P > 0.05);A组术中输注各异体血制品的量及比率低于B组(P 0.05)。 结论 凶险型前置胎盘患者剖宫产术中使用自体血连续回输机可有效降低输注各异体血制品的量及比率，维持机体循环血量，合理的節约血液资源。

    [关键词] 自体血连续回输机;凶险型前置胎盘;剖宫产;血液资源

    [中图分类号] R719.8 ? ? ? ? ?[文献标识码] A ? ? ? ? ?[文章编号] 1673-7210(2019)05(b)-0125-04

    [Abstract] Objective To analyze the application effect of autologous blood continuous transfusion machine in caesarean section for patients with dangerous placenta previa. Methods A retrospective analysis was made on 120 cases of dangerous placenta previa diagnosed in the First Affiliated Hospital of Xinjiang Medical University from July 2016 to August 2018. They were divided into group A (n = 60) and group B (n = 60) according to whether autologous blood continuous transfusion machine was used during operation. Sixty patients in group A used autologous blood continuous transfusion machine during operation ......