国际麻醉学与复苏杂志   2016, Issue (7): 3-3
    
临时性球囊阻断技术用于减少异体输血的进展
白利敏, 张卫1()
1.郑州大学第一附属医院
Progress in the reduction of allogeneic blood transfusion by temporary balloon occlusion
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摘要:

背景 临时性血管内球囊阻断(temporary balloon occlusion of aorta TBOA)可减少异体输血(autologous blood transfusion ABT)。目的 TBOA可减少术中出血及异体输血并取得理想效果,总结其优势、局限性及并发症。内容 减少围手术期出血、异体输血一直是术者及麻醉医生共同面临的问题,手术辅助技术改进、血液制品替代治疗、自体血回输等被应用于围手术期。对于一些特殊群体,如肿瘤、产妇、严重创伤休克病人,术中出血量大,传统止血方式难以达到理想效果。TBOA阻断供血动脉,起到暂时止血作用,有效减少术中出血保持术野清晰,缓解了ABT的紧张程度。趋向 TBOA经过改进,被用于减少术中出血和减少异体输血。

关键词: 临时性球囊阻断;异体输血;减少出血
Abstract:

Background temporary balloon occlusion of aorta(TBOA) can reduce autologous blood transfusion(ABT).Objective TBOA could reduce intraoperative bleeding and autologous blood transfusion, and has achieve desired effects.Content Reduce perioperative bleeding, allogeneic blood transfusion has been a problem for both the surgeon and the doctor.it is difficult to hemostasis by traditional way in special groups such as tumor,puerpera,hemorrhagic shock in trauma.Temporary ballon occlusin of aorta in prevention of bleeding during surgery and ruduce allogeneic and it will maintain a ideal operation field,ease the tension of allogeneic blood transfusion.Trend TBOA is widely used to reduce bleeding and autologous though improved.

Key words: TBOA; ABT; reduce bleeding