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Observation on the Efficacy of autologous blood Transfusion Combined with Controlled Hypotension in Patients with spinal internal fixation during the Outbreak of New Coronavirus Pneumonia in Western Guangxi (in Guixi)

引用

Open Journal of blood Diseases 2021年第1期11卷 15-23页

作者： Chengkua Huang Guosheng Su Yong Zhao Chunxian Lu Sheng Nong Xiaohua Huang Department of Spine and Orthopedics Southwest Hospital Affiliated to Youjiang Medical College for Nationalities Baise People’s Hospital Baise China Department of Laboratory Medicine Orthopedic Hospital of Integrated Traditional Chinese and Western Medicine in Guigang Guigang China School of Public Health and Management Guangxi Baiyoujiang Medical College for Nationalities Baise China Department of Laboratory Medicine Yunyang Hospital of Traditional Chinese Medicine Chongqing China

Objective: To explore the therapeutic effect of autologous blood reinfusion combined with controlled hypotension in surgical spinal fixation during the outbreak of COVID-19. Methods: 30 patients with spinal internal fixation autologous blood transfusion combined with controlled hypotension were selected as the subjects during the epidemic period from December 2019 to June 2020 in our hospital and during the operation, on the basis of routine blood pressure reduction, the American Haemonetice Corporation autologous blood continuous reinfusion system was used to infuse the blood recovered during the operation to the patient through filtration and other procedures. Results: 30 patients had no complications such as fever and hemolysis;And after the operation, the tube was dialed according to the drainage volume, the cervical thoracic and lumbar brace was customized, and the patient walked on the ground for one week;After no abnormalities, the patient was discharged. Intraoperative comparison of white blood cells (WBC), red blood cells (RBC), red blood cell pressure (HCT), hemoglobin (HGB), and coagulation time (PT) of patients with autologous blood before and after transfusion showed statistically significant differences before and after surgery (P Conclusion: During the new coronavirus pneumonia epidemic, the internal fixation of spinal surgery used a recovery machine to collect intraoperative blood for reinfusion. Intraoperative antihypertensive drugs were used to control blood pressure within a certain safe range. The postoperative clinical observation effect was significant and safe;especially at present the clinical significance during the epidemic was significant.

关键词： New Coronavirus Pneumonia spinal internal fixation surgery autologous blood reinfusion Controlled Hypotension Curative Effect

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