6%贺斯联合自血回输在异位妊娠失血性休克麻醉中的应用(1)
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[摘要] 目的：探讨6%贺斯(HS)联合自血回输在异位妊娠急性失血性休克患者麻醉中的临床意义。方法：50例患者随机分为6%贺斯联合自血回输(HSAT)组和林格液联合异体输血(RLHT)组，每组25 例。HSAT组：以6%贺斯5 ml/kg 6～10 min内静滴，采用非洗涤方式回收腹腔内出血，回收血总量不超过1 500 ml，及时回输给患者。RLHT 组：先行林格液(RL) 1 000～1 500 ml 以1.0～1.5 ml/(kg·min)的速度静滴，然后输注异体血。结果：50例患者均抢救成功，HSAT组血压回升时间为(12.3±2.5) min，RLHT组回升时间为(21.3±3.7) min，两者比较差异有显著性(P<0.05)；HSAT组输血反应发生较少。结论：贺斯联合自血回输是救治异位妊娠急性失血性休克的有效措施。
[关键词] 异位妊娠；贺斯；自血回输；休克
[中图分类号] R441.9[文献标识码]A [文章编号]1673-7210(2009)01(b)-009-03
Application of 6% HS combined autotransfusion in the anesthesia of ectopic pregnancy hemorrhagic shock
LIU Kun
(Department of Anesthesia, the First People's Hospital of Shangqiu City, Henan Province, Shangqiu476000, China)
[Abstract] Objective: To discuss the clinical significance of 6% HS combined autotransfusion in the anesthesia of patients with ectopic pregnancy acute hemorrhagic shock. Methods: 50 patients were randomly divided into 6% HS combined autotransfusion (HSAT) group and Ringer-Locke liquor combined allogeneic transfusion (RLHT) group, with 25 patients in each group. Patients in HSAT group were treated with 6% HS with an amount of 5 ml/kg to be intravenously infused within 6-10 minutes, and the intra-abdominal blood was recycled via non-washing methods and transfused into patients immediately, and the amount of blood did not exceed 1 500 ml. Patients in RLHT group were treated with 1 000 -1 500 ml RL with a drip speed of 1.0-1.5 ml/(kg·min), and then the allogeneic blood was transfused into the body. Results: 50 patients were successfully rescued, the blood pressure recovery time in HSAT group was (12.3±2.5) min, and that in RLHT group was (21.3±3.7) min, a significant difference was observed between them (P<0.05). The transfusion reactions occurred less in HSAT group than RLHT group. Conclusion: HS combined autotransfusion is an effective treatment of the acute hemorrhagic shock of ectopic pregnancy.
[Key words] Ectopic pregnancy; HS; Autotransfusion; Shock
异位妊娠可发生严重的腹腔内出血，常伴有失血性休克，病情严重，发展较快，抢救不及时可危及患者生命，输血在麻醉抢救中是不可替代的治疗手段。为探讨6%贺斯联合自血回输救治异位妊娠急性失血性休克患者麻醉的安全性和有效性 ......
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