Clinical analysis of liver and spleen rupture used autologous blood transfusion in 32 cases

Objective:To evaluate the value of liver and spleen rupture of autologous blood transfusion for giving reference for the rational application of autologous blood transfusion.Methods: The M9W-3000P3000P blood recovery machine was used to the autologous blood transfusion in 32 cases of patients with liver and spleen rupture.The blood and three coagulation indicators were tested in the preoperative and postoperative conditions.Results: The average transfusion was 1 150 ml,2 cases were died,the others without serious complications,post-transfusion RBC,Hb,PLT had a significantly improved [(3.82±0.85)×1012/L vs(3.53±0.71)×1012/L;(112.93±24.12)g/L vs(106.86±21.38)g/L;(218.57±108.6)×109/L vs(192.35±80.34)×109/L](P=0.025,0.012,0.036).PT,APTT 24 h before and after surgery showed no significant differences(P=0.852),reached the normal level,FIB after transfusion was significantly higher than the average before transfusion [(2.54±1.64)g/L vs(3.41±1.53)g/L](P=0.021).Conclusion: Autologous blood transfusion is a major component of blood conservation that can improve the success rate,but also to reduce allogeneic blood transfusion and the economic burden of adverse reactions,and the patient's blood coagulation indicators greatly improved,it should be widely applied.