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宫外孕患者多伴有腹腔大量出血,常导致失血性休克。手术时将腹腔血液回输是恢复血容量,抢救病人的有效措施。笔者在血源缺乏的情况下,对31例宫外孕患者的腹腔自血在术中回输,取得满意的效果。现结合有关文献,对腹腔血液回输问题进行讨论。临床资料宫外孕患者自血回输31例中,输卵管妊娠30例(输卵管破裂22例,输卵管流产8例),阔轫带妊娠1例。休克者18例。自血回输最多者1,800ml,最少250ml,平均640ml。血液在腹腔最长者8天,最短者3小时,24小时以上者21例,5天以上者9例。体温在38℃以上者5例。术前或术后输用他人血液者11例。全部患者回输后均无不良反应。切口Ⅰ期愈合。
Patients with ectopic pregnancy often accompanied by massive abdominal bleeding, often leading to hemorrhagic shock. Intraoperative abdominal blood transfusion is an effective measure to restore blood volume, rescue patients. I lack of blood in the circumstances, the 31 cases of ectopic pregnancy in patients with intraperitoneal self-blood transfusion in the surgery, and achieved satisfactory results. Now combined with the literature on the issue of abdominal blood transfusion to be discussed. Clinical data Ectopic pregnancy patients with self-blood transfusion in 31 cases, 30 cases of tubal pregnancy (rupture of tubal in 22 cases, 8 cases of tubal abortion), 1 case of konjac with pregnancy. Shock in 18 cases. The most since the blood transfusion 1,800ml, at least 250ml, an average of 640ml. The longest blood in the abdominal cavity for 8 days, the shortest 3 hours, 24 cases of more than 21 cases, 5 days or more in 9 cases. Body temperature above 38 ℃ in 5 cases. Preoperative or postoperative infusion of blood in 11 cases. All patients were no adverse reactions after transfusion. Incision incision healing.