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[1]张冰,赵娜,张冬梅,等.氨甲环酸联合自体血回输在非体外循环冠脉搭桥术中的应用[J].宁夏医科大学学报,2015,(05):512-515.[doi:10.16050/j.cnki.issn1674-6309.2015.05.009]
 ZHANG Bing,ZHAO Na,ZHANG Dongmei,et al.-[J].Ningxia Medical University,2015,(05):512-515.[doi:10.16050/j.cnki.issn1674-6309.2015.05.009]
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氨甲环酸联合自体血回输在非体外循环冠脉搭桥术中的应用(PDF)
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《宁夏医科大学学报》[ISSN:1005-8486/CN:64-1029/R]

卷:
期数:
2015年05期
页码:
512-515
栏目:
论著
出版日期:
2015-05-30

文章信息/Info

Title:
-
作者:
张冰; 赵娜; 张冬梅; 温恒; 王萌;
宁夏医科大学; 宁夏医科大学总医院麻醉科;
Author(s):
ZHANG Bing;ZHAO Na;ZHANG Dongmei;WEN Heng;WANG Meng;Ningxia Medical University;Dept. of Anesthesiologythe General Hospital of Ningxia Medical University;
关键词:
非体外循环冠脉搭桥术 氨甲环酸 自体血回输技术
Keywords:
-
分类号:
R654.2
DOI:
10.16050/j.cnki.issn1674-6309.2015.05.009
文献标志码:
-
摘要:
目的观察氨甲环酸联合自体血回输技术对非体外循环冠脉搭桥术(OPCAB)患者术后出血量及异体血输血量的影响。方法回顾分析择期行OPCAB的146例患者资料,纳入患者年龄不限,分为对照组(A组,51例),氨甲环酸组(B组,30例)和氨甲环酸联合自体血回输组(C组,65例)。比较3组OPCAB患者血常规中的Hb、Hct、Plt的变化、失血量和输血情况。结果 3组患者术前Hb、Hct、Plt组间比较差异无统计学意义;术后Hb、Hct、Plt与术前比较降低(P<0.05),但仍维持在正常范围。与A组(500±249)m L相比,B组心包纵膈引流量(404±150)m L和C组(405±186)m L心包纵膈引流量均减少(P<0.05)。3组患者的异体输血发生率分别为:A组78.43%(40/51);B组46.67%(14/30);C组16.92%(11/65),组间比较差异有统计学意义(P<0.0125)。与A组(871±422)m L相比,B组(600±272)m L和C组(323±130)m L患者的异体血输入量减少(P<0.05),并且C组患者异体输血量较B组患者少(P<0.05)。3组患者术前PT、APTT、INR、FIB等指标差异无统计学意义(P>0.05),3组患者术后PT、APTT、INR、FIB等指标与术前比较差异无统计学意义(P>0.05)。结论使用氨甲环酸联合自体血回输技术可以安全有效地减少OPCAB患者术后出血量以及异体血输血量。
Abstract:
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参考文献/References:

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更新日期/Last Update: 1900-01-01