肿瘤手术时创面血的再输入 节约异体血的有效方法

• 作 者: E.Hansen K.Taeger F.Hofstdter 刘九红
• 机 构: Klinik fr Ansthesiologie,Klinikum der Universitt Regensburg,D-93042 Regensburg,Germany,Klinik fr A
• 出 处: The Chinese-German Journal of Clinical Oncology
• 发表日期: 2000年04期
• 关键词: 创面 异体血 肿瘤病 自体血 血制品 肿瘤手术 自体血回输 于术 危险性 肿瘤性

尽管德国血制品质量很高,但我们仍没有理由低估输血的危险性。解决方法是自体血回输,即术前将自体血抽出来,术中再将其输回体内。这种方法可适用于肿瘤病人。但这种方法常常受以下几个方面的限制:已经存在的肿瘤性贫血、不能准确判断的时间紧迫性。不能准确判断需要的血量。由于有充满肿瘤细胞的危险,所以对于术中创面血液机械自动加工和再输入需要一种能检测创面血液中肿瘤细胞的技术。

Despite the high quality of German blood products, we still have no reason to underestimate the danger of blood transfusions. The solution is to return the autologous blood, that is, to withdraw the autologous blood before surgery and then return it to the body during surgery. This method can be applied to tumor patients. However, this method is often limited by the following aspects: Existing anaemia of the tumor, and the time urgency of inaccurate judgment. Can not accurately determine the amount of blood needed. Due to the danger of being full of tumor cells, a technique that can detect the tumor cells in the blood of the wound is needed for the automatic processing and reintroduction of blood in the wound during surgery.