ABSTRACT
Objective:To observe the application value of autologous blood recycling machine in emergency surgery of ectopic pregnancy ruptures.Methods: Fifty patients with ectopic pregnancy ruptures performed intraoperative autologous blood transfusion by using the autologous blood recycling machine were chosen as research group, 46 cases of same or similar patients performed allogeneic blood transfusion as control group. In research group,perioperative HR, SBP, DBP, MAP, CVP and SpO2 were monitored, at the same time the blood indicators as WBC, Hb, HCT, FIB, PLT, PT, APTT were examined before, after and during the operation. Blood loss, blood collection and Blood transfusion status were recorded in two groups.Results: In research group, SBP, MAP and CVP increased significantly(after transfusion compared with before transfusion,t=-1.641,t=-1.230,t=-3.591 respectively,P<0.05; postoperative 24h compared with before transfusion,t=-1.870,t=-2.012,t=-3.205 respectively,P<0.05), HR decreased significantly(after transfusion compared with before transfusion,t=2.265,P<0.05; postoperative 24h compared with before transfusion,t=3.018,P<0.05); and WBC, Hb, HCT, PLT increased significantly (WBC, HB, HCT after transfusion compared with preoperative, t=-1.831,t=-1.653,t=-1.406 respectively,P<0.05; postoperative 24h WBC, HB, HCT, PLT compared with preoperative, t=-2.504,t=-1.910,t=-1.513,t=-2.310 respectively,P<0.05) after autologous blood transfusion and surgery. The volume of allogeneic blood transfusion volume, incidence of adverse reactions and costs of blood transfusion in research group were lower than those in control group(t=9.362,x2=4.22,t=5.405 respectively,P<0.05).Conclusion:The operation of blood recycling machine in emergency surgery of ectopic pregnancy ruptures timely manner is safe and effective is timely, safe and effective, can significantly reduce the adverse reactions and costs of blood transfusion, has important clinical application value.