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目的探讨血液回收技术在肾上腺嗜铬细胞瘤术中应用价值。方法整群选取该院于2008年2月—2014年6月收治的38例患者择期行嗜铬细胞瘤手术,分为A、B两组,自体血回收组采用血液回收仪回收术野失血,对照组不回收失血,分别采集手术前、手术术毕、手术术后24 h、手术术后3 d的静脉血,测定红细胞计数(RBC)、红细胞压积(Hct)、血红蛋白(Hb)、血小板计数(Pt)、出血时间(BT)、凝血时间(CT)、凝血酶原时间(PT)。结果两组病人异体血输血量差异有统计学意义(P<0.01),血红蛋白、红细胞计数术后24 h高于对照组(P<0.05),两组红细胞压积(Hct)及血小板计数(Pt)在各测定时点差异无统计学意义(P>0.05)。结论采用自体输血技术在肾上腺嗜铬细胞瘤瘤术中能明显减少异体血用量、安全可靠且并发症少。
Objective To investigate the value of blood recovery in the treatment of adrenal pheochromocytoma. Methods A total of 38 patients selected from the hospital from February 2008 to June 2014 were enrolled in this study. The patients were divided into A and B groups. The autologous blood collection group was used to recover the blood loss of the operative field, Blood samples were collected from the control group before operation, at the end of operation, 24 h after operation and 3 d after operation. RBC, Hct, hemoglobin, Count (Pt), bleeding time (BT), clotting time (CT), prothrombin time (PT). Results There was significant difference in blood transfusion between the two groups (P <0.01). Hemoglobin and erythrocyte count were significantly higher at 24 hours after operation than those in control group (P <0.05). Hct and Pt ) Had no significant difference at each time point (P> 0.05). Conclusion The autologous blood transfusion technique can significantly reduce the amount of allogenic blood in adrenal pheochromocytoma surgery, which is safe and reliable with few complications.