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中华妇幼临床医学杂志(电子版) ›› 2018, Vol. 14 ›› Issue (05) : 617 -620. doi: 10.3877/cma.j.issn.1673-5250.2018.05.021

所属专题: 文献

综述

术中自体血液回输在产科中应用的研究进展
李海冰1   
  1. 1. 201204 上海,同济大学附属第一妇婴保健院麻醉科
  • 收稿日期:2018-04-08 修回日期:2018-06-19 出版日期:2018-10-01

Research progress of intraoperative cell salvage in obstetrics

Haibing Li1   

  1. 1. Department of Anesthesiology, First Maternity and Infant Hospital Affiliated to Tongji University, Shanghai 201204, China
  • Received:2018-04-08 Revised:2018-06-19 Published:2018-10-01
  • About author:
    Corresponding author: Liu Zhiqiang, Email:
  • Supported by:
    Joint Key Project of Heath and Family Planning Commission of Pudong New District in Shanghai(PW2016D-10); Medical Guiding Project of Shanghai Science and Technology Committee(16411967400)
引用本文:

李海冰. 术中自体血液回输在产科中应用的研究进展[J/OL]. 中华妇幼临床医学杂志(电子版), 2018, 14(05): 617-620.

Haibing Li. Research progress of intraoperative cell salvage in obstetrics[J/OL]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2018, 14(05): 617-620.

术中自体血液回输是减少异体血输注的策略之一。20世纪70年代之前,为避免羊水栓塞或母体免疫反应,术中自体血液回输在产科手术中几乎被禁用。直至近年,白细胞滤器(LDF)的应用,术中自体血液回输才得以应用于产科。经自体血液回收仪(cell saver)处理和LDF过滤的产科术中回收自体血液中,胎儿鳞状细胞水平与胎盘剥离后的母体静脉血基本一致,并且迄今为止暂无因术中自体血液回输导致羊水栓塞的相关文献报道。对于术前预期血源紧张的大出血产科患者,可以考虑采用术中自体血液回输技术。笔者拟对术中自体血液回输在产科中中应用的研究进展进行综述。

Intraoperative cell salvage is one of the strategies to avoid allogeneic blood transfusion. Before 1970s, in order to avoid amniotic fluid embolism or maternal immune response, intraoperative cell salvage was almost forbidden in obstetric operations. Intraoperative cell salvage was applied to obstetric operations until the application of leukocyte depletion filter (LDF) in recent years. The level of fetal squamous cells in autologous blood treated with cell saver and filtered by LDF is basically the same as that of maternal vein blood after placenta stripping. So far, there are no definite cases of amniotic fluid embolism due to intraoperative cell salvage reported. For obstetric patients with bleeding who are expected to have a tight blood source, intraoperative cell salvage may be considered. This article mainly reviews research progress of intraoperative cell salvage in obstetrics.

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