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编号:10781189
口腔颌面部手术急性稀释性自体输血的术中护理配合
http://www.100md.com 《河北医学杂志》 2005年第6期
口腔,,自体输血;,口腔颌面外科;应用;护,理,1材料与方法,2结果,3讨论,参考文献:
     摘要:目的:探索急性稀释性自体输血在口腔颌面部手术中应用的护理配合。方法:17例口腔颌面外科手术采用急性稀释性自体输血,术中监测病人的血压和血氧饱和度,术前、血液稀释后、术后检测红细胞压积(HCT)、血红蛋白(HB)和血小板(PLT),以同期采用异体输血的口腔颌面外科手术病例15例为对照组。结果:所有患者手术过程平稳,术后红细胞压积、血红蛋白和血小板的恢复明显快于对照组。结论:急性稀释性自体输血在口腔颌面部手术中应用效果良好,术中护理需注意配合。

    关键词:自体输血; 口腔颌面外科;应用;护 理

    Nursing Cooperation of Acute Diluted Autogenous Transfusion During the Operations for Oro-maxillo-facial Region

    HUANG Bu-ying,CHEN Zhuo-yi,YAO Xiao-wu

    (The Second Affiliated Hospital of Shantou University Medical College, Guangdong Shantou 515043,China)

    Abstract:Objective: To explore the application and nursing cooperation of acute diluted autogenous transfusion during the operations for oro-maxillo-facial region.Method: Acute diluted autogenous transfusion was performed during 17 cases of oro-maxillo-facial operations, and meanwhile, blood pressure and oxygen saturation was monitored. Hemocrit (HCT), hemoglobin (HB) and platelets (PLT) were also monitored before the operation, after the hemodilution and postoperatively. By contrast, 15 cases receiving oro-maxillo-facial operations and heterogeneous transfusion were designed as the control.Result: All the patients receiving acute diluted autogenous transfusion got an uneventful operation. However, HCT, HB and PLT restored to normal level at a faster speed in contrast with the control. Conclusion: Acute diluted autogenous transfusion demonstrated excellent application, and nursing cooperation should be noticed. ......

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