Tencent website: Recently, the Anesthesiology Department of Yanzhou District Traditional Chinese Medicine Hospital in Jining City successfully launched the first case of intraoperative autologous blood transfusion technology. Solved the problem caused by our hospital's surgery requiring a large amount of blood transfusion; Difficulty in blocking points;. This technology is of great significance for patients with significant bleeding in the body cavity, or for performing surgeries with large amounts of bleeding, as well as for surgical treatment of patients with difficulties in allogeneic blood transfusion. It is of great significance for our hospital to continuously improve its surgical level, carry out some difficult surgeries, complicated surgeries, and combined surgeries.
It is reported that Ms. Li (pseudonym) was found pregnant after examination, and gynecological ultrasound indicated ectopic pregnancy. Blood routine examination showed Hb76g/l, indicating moderate anemia. The obstetrics and gynecology team determined that it was caused by a large amount of intra-abdominal bleeding due to ectopic pregnancy rupture, and surgical treatment is needed. As usual, blood transfusion is required. During the surgery, there is a high possibility of excessive bleeding leading to hemorrhagic shock and even the risk of hysterectomy. After consultation and discussion among multiple disciplines such as anesthesia, obstetrics and gynecology, and transfusion, if there is excessive bleeding during surgery, autologous blood transfusion technology can be used to ensure patient safety. During the operation, it was found that Ms. Li had a ruptured pregnancy in the left corner of the uterus, with active bleeding. The pelvic cavity had accumulated more than 1000 milliliters of blood, with a blood clot of about 400g. If not promptly transfused to supplement sufficient blood volume, hypovolemic shock could occur at any time, leading to life-threatening situations.
After communicating with the family, the anesthesia surgery team immediately decided to adopt autologous blood transfusion technology for Ms. Li. A blood recovery machine was used to recover all 1000 milliliters of blood accumulated in Ms. Li's body. After filtration, washing, centrifugation, and concentration, 200ml of self concentrated red blood cells were obtained and intravenously transfused back to Ms. Li.
The surgery was successfully completed. After the surgery, Ms. Li's vital signs remained stable without any discomfort, and she is currently recovering well, avoiding the risk of allogeneic blood transfusion.
Su Maoshun, Director of the Anesthesia and Surgery Department and Director of the Blood Transfusion Department, introduced that autologous blood recovery technology is a blood transfusion technique that involves the recovery, filtration, centrifugation, washing, and other processes of the patient's intraoperative bleeding through blood recovery equipment, and then reinfused back to the patient. In the past, when treating patients with large amounts of bleeding during surgery, the main measure was to input stock of allogeneic and homologous whole blood or component blood products. The large amount of imported blood from the bank posed threats such as secondary bleeding tendency, hyperkalemia, immune suppression, allergies, and contamination. At the same time, many steps such as blood drawing, cross matching, blood collection, and verification were also required, which prevented patients from receiving timely treatment. In recent years; Bloodthirsty "; Situations occur from time to time, and it is impossible to guarantee the safety of patients during surgery. The smooth implementation of this new technology has effectively alleviated the blood use problem of surgical patients, reduced adverse reactions caused by allogeneic blood transfusion, and also reduced blood loss, greatly benefiting the postoperative recovery of patients.
Editor | Chai Zhuang