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中华产科急救电子杂志 ›› 2019, Vol. 08 ›› Issue (04) : 220 -224. doi: 10.3877/cma.j.issn.2095-3259.2019.04.007

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剖宫产术中的自体血回输
赵先兰1,()   
  1. 1. 450052 郑州大学第一附属医院产科
  • 收稿日期:2019-08-08 出版日期:2019-11-18
  • 通信作者: 赵先兰

Intraoperative cell salvage in cesarean section

Xianlan Zhao1()   

  • Received:2019-08-08 Published:2019-11-18
  • Corresponding author: Xianlan Zhao
引用本文:

赵先兰. 剖宫产术中的自体血回输[J]. 中华产科急救电子杂志, 2019, 08(04): 220-224.

Xianlan Zhao. Intraoperative cell salvage in cesarean section[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2019, 08(04): 220-224.

产后出血是孕产妇死亡的主要原因之一。自体血回输可以避免多种输血相关的并发症,如急性溶血反应、过敏和发热反应、血源传染病的传播以及同种异体输血的免疫反应,还可以为稀有血型患者提供保障,一定程度上提高产后出血救治成功率,改善孕产妇预后。但受限于羊水栓塞和胎儿红细胞污染相关的理论问题,该技术在产科的应用进展缓慢。本文将集中讨论术中自体血回输在剖宫产中的应用问题及进展。

Postpartum hemorrhage(PPH) remains one of the leading causes of maternal mortality. Intraoperative cell salvage (IOCS) can improve maternal prognosis to some extent by avoiding a variety of blood transfusion-related complications, such as acute hemolysis, allergies, fever reaction, blood source infectious diseases, allogeneic blood transfusions reaction and also escort patients of rare blood types. Limited by the theoretical issues related to amniotic fluid embolism and fetal red blood cell contamination, the progress of application of this technology in obstetrics is slow. This article will focus on the current status of IOCS in cesarean section.

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