自体-2000及COBE BRAT-2型血液回收机对颅脑手术中回收血液清洗效果的对比

首都医科大学学报 ›› 2004, Vol. 25 ›› Issue (4): 511-515.

自体-2000及COBE BRAT-2型血液回收机对颅脑手术中回收血液清洗效果的对比

梁辉¹, 王保国¹, 岳秀玲²

1. 首都医科大学附属北京天坛医院麻醉科;2. 首都医科大学附属北京天坛医院检验科

收稿日期:2003-09-22 修回日期:1900-01-01 出版日期:2004-10-15 发布日期:2004-10-15

Comparison between Processing Effects of Ziti-2000 and COBE BRAT-2 Autologous Transfusion Systems During Craniotomy

Liang Hui¹, Wang Baoguo¹, Yue Xiuling²

1. Department of Anesthesiology, Beijing Tiantan Hospital, Affiliate of Capital University of Medical Sciences;2. Department of Clinical Laboratory, Beijing Tiantan Hospital, Affiliate of Capital University of Medical Sciences

Received:2003-09-22 Revised:1900-01-01 Online:2004-10-15 Published:2004-10-15

摘要/Abstract

摘要： 为了评价颅脑手术中回收血液的质量并对比观察国产自体-2000型及COBE BRAT-2型血液回收机对颅脑手术中回收血液的处理效果,将18例择期颅脑手术病人,随机分为自体-2000组及COBE BRAT-2组.按组别分别用相应的血液回收机将术野出血回收,经抗凝、滤过、离心分离、清洗后回输.测定清洗前、后红细胞悬液的血常规、主要离子成分及游离血红蛋白质量浓度.结果:2种回收机清洗后均得到红细胞比容为0.50左右的红细胞悬液,其主要离子成分均接近正常生理水平,游离血红蛋白在清洗过程中大部分被清除(P<0.01),其质量浓度也达到可以接受的水平.提示:国产自体-2000型及COBE BRAT-2型血液回收机对颅脑手术中回收血液的处理效果相近并令人满意.

关键词: 血液检查, 血液化学分析, 自体输血, 开颅术

Abstract: The aim was to evaluate the quality of the salvaged blood processed by two autotransfusion devices-Ziti-2000 and COBE BRAT-2 during craniotomy and compare the processing effects of these two autotransfusion devices. 18 patients scheduled for elective craniotomy were randomly allocated into two groups. Two autotransfusion devices, Ziti-2000 and COBE BRAT-2 were used respectively. The hematocrit, red cell count, and the concentrations of free hemoglobin, hemoglobin, potassium, sodium and chloride of the blood before and after wash were examined. Both of these two cell-washing devices produced washed blood with hematocrit of about 0.50. In both of these two groups, the concentrations of potassium, sodium and chloride of the washed blood were very close to the physiological ranges. After wash, the concentrations of free hemoglobin were decreased significantly (P<0.01), and reached the acceptable ranges. It suggests that the quality of salvaged blood processed by Ziti-2000 and COBE BRAT-2 during craniotomy was satisfactory. The processing effects of the two cell-washing devices are similar.

Key words: blood examination, blood chemical analysis, autologous transfusion, craniotomy

中图分类号:

R651

梁辉;王保国;岳秀玲. 自体-2000及COBE BRAT-2型血液回收机对颅脑手术中回收血液清洗效果的对比[J]. 首都医科大学学报, 2004, 25(4): 511-515.

Liang Hui;Wang Baoguo;Yue Xiuling. Comparison between Processing Effects of Ziti-2000 and COBE BRAT-2 Autologous Transfusion Systems During Craniotomy[J]. Journal of Capital Medical University, 2004, 25(4): 511-515.

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