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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Equal Blood Conservation In On- And Off-Pump Coronary Bypass Operation With The Routine Use Of Cell Saver
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Equal Blood Conservation In On- And Off-Pump Coronary Bypass Operation With The Routine Use Of Cell Saver

机译：常规使用Cell Saver进行上下泵冠状动脉搭桥手术的均等血液保存

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Background: The limitations of recent studies comparing usage of blood products in on and off- pump coronary artery bypass grafting (CABG) have been the routine use of cell saver in the former but not in the latter group. We routinely use cell savers in both on- and off-pump coronary bypasses. We analysed our prospectively collected data to get a more balanced comparison of the two methods.Methods: Data were prospectively collected on all patients undergoing isolated CABG from January 2003 to December 2004. One hundred and seventy-four patients operated on using off-pump technique (OPCAB) were compared with 1125 on-pump cases (ONCAB). They were well matched in terms of age, sex, disease severity, and priority of surgery.Results: There were no significant differences between OPCAB and ONCAB groups in terms of usage of red cells (18% vs. 21%, p not significant (NS)), platelet (6% vs. 7%, p NS), fresh frozen plasma (6% vs. 10%, p NS), chest drain output at 12 hours (mean 802 vs. 856 ml, p NS), or pre-discharge haemoglobin (10  1 vs. 9  1 g/dl, p NS).Conclusion: The routine use of cell saver can achieve the same blood conservation in both on- and off-pump CABG.
机译：背景：最近比较抽血冠状动脉搭桥术和非抽血冠状动脉搭桥术（CABG）中血液制品使用情况的最新研究的局限性在于，前者可常规使用细胞保护剂，而后者则不是。我们通常在上下泵冠状动脉搭桥术中都使用细胞保护剂。方法：从2003年1月至2004年12月，对所有接受孤立CABG的患者进行前瞻性收集。174例采用非体外循环技术进行手术的患者（OPCAB）与1125例泵上病例（ONCAB）进行了比较。结果表明：OPCAB和ONCAB组在红细胞使用方面无显着差异（18％vs. 21％，p不显着（ NS）），血小板（6％vs. 7％，p NS），新鲜冰冻血浆（6％vs. 10％，p NS），12小时排泄量（平均802 vs. 856 ml，p NS），或排出前血红蛋白（10 ^ 1 vs. 9 ^ 1 g / dl，p NS）。结论：常规使用细胞保护剂可以在泵上和泵下CABG中实现相同的血液保存。

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