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)

Chengkua Huang, Guosheng Su, Zhao Yong, Chunxia Lu, Shengxiong Nong, X. Huang
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Abstract

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 < 0.001). 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.
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桂西地区新型冠状病毒肺炎疫情期间自体输血联合控制性降压治疗脊柱内固定患者的疗效观察
目的:探讨自体回血联合控制性低血压在新冠肺炎暴发期脊柱内固定术中的治疗效果。方法:选择我院2019年12月至2020年6月疫情期间及手术期间30例脊柱内固定自体输血并控制性低血压患者为受试者,在常规降压的基础上,美国Haemonetice公司的自体血液连续回输系统用于通过过滤和其他程序将手术期间回收的血液输注给患者。结果:30例患者无发热、溶血等并发症;并在术后根据引流量拨管,定制颈胸腰椎支架,患者在地上行走一周;在没有任何异常之后,患者出院了。自体血患者术中白细胞(WBC)、红细胞(RBC)、红血细胞压(HCT)、血红蛋白(HGB)和凝血时间(PT)输注前后比较,术前和术后差异有统计学意义(P<0.001),脊柱外科的内固定使用回收机收集术中血液进行回输。术中使用降压药将血压控制在一定的安全范围内。术后临床观察效果显著、安全;尤其是目前疫情期间的临床意义显著。
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