论文部分内容阅读
目的评价cardioPAT一站式自体血液回收机对心脏手术中自体血液的回收效果。方法40例行心脏手术患者，根据自体血液回收设备的不同，随机分为两组：CS组（Cell saver 5+，n=20）和CP组（cardioPAT，n=20）。分别留取处理前后的血液样本，测定处理前后的红细胞压积（Hct）、血红蛋白（Hb）、游离血红蛋白（FHb）、乳酸（Lac）的水平及处理后血液的流变学变化。结果处理后CP组Hb含量及Hct水平高于CS组（P＜0.05），而FHb、Lac含量低于CS组（P＜0.05），术后CP组可继续回收血液218.10±67.00mL。处理后CP组红细胞变形指数高于CS组。结论cardioPAT一站式自体血液回收机可最大程度地回收患者术中及术后丢失的血液，其自体血液回收效果优于CS组。“,”Objective To evaluate the autologous blood salvage effects of one-stop cardioPAT device during cardiac surgery.Methods 40 patients were divided randomly into 2 groups according to the different cell saver devices:Group CS(Cell saver 5+;Haemonetics,USA,n=20),Group CP(cardioPAT;Haemonetics,USA,n=20). In order to compare the effects autologous blood salvage between the two different cell saver devices,blood samples were taken,respectively,before cell saver processing in the reservoir and after blood processing in the transfusion bag.Blood samples were analyzed for the content of hemoglobin(Hb),hemotacrit(Hct),free hemoglobin(FHb),lactate(Lac),as well as the change of hemorheology after blood processing.Results After processing,the contents of Hb and Hct in Group CP were higher than that in Group CS(P<0.05) and the contents of FHb and Lac were lower than that in Group CS.Group CP can continue to salvage about 218.10±67.00mL lost blood after operation.The deformation index in group CP was higher than that in group CS(P<0.05).Conclusion CaridoPAT device can salvage maximum of the lost blood during and after cardiac surgery and its effects of autologous salvage was better than group CS.