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胸腔镜手术联合术中自体输血治疗创伤性血胸的临床分析

Clinical analysis of thoracoscopic surgery combined with intraoperative autologous blood transfusion in the treatment of traumatic hemothorax.

作者信息

Ma Hu-Sai, Ma Ju-Hua, Xue Feng-Lai, Fu Xiang-Ning, Zhang Ni

机构信息

Department of Thoracic Surgery, Qinghai Provincial People's Hospital, Xining 810007, Qinghai Province, China.

出版信息

Chin J Traumatol. 2016 Dec 1;19(6):371-372. doi: 10.1016/j.cjtee.2016.04.007.

Abstract

From January 2013 to January 2015, 19 patients of traumatic hemothorax with hemorrhagic shock were treated in our department by thoracoscopic surgery combined with autologous blood transfusion. This study retrospectively analyzed the therapeutic effect and shared our experience. The average amount of blood transfused back was 662.41 ml ± 269.15 ml. None of the patients developed transfusion reaction and were all discharged uneventfully. Thoracoscopic surgery combined with autologous blood trans- fusion is effective in the rescue of patients with progressive hemothorax and hemorrhagic shock. When corresponding indications are well managed, treatment for these patients is quicker, safer, and more effective.

摘要

2013年1月至2015年1月,我科对19例创伤性血胸合并失血性休克患者采用胸腔镜手术联合自体输血治疗。本研究回顾性分析其治疗效果并分享经验。自体血回输平均量为662.41 ml±269.15 ml。所有患者均未发生输血反应,均顺利出院。胸腔镜手术联合自体输血对进行性血胸合并失血性休克患者的救治有效。掌握相应适应证时,对这类患者的治疗更快捷、安全、有效。

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