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摘要: 肝脏切除术患者常常合并凝血功能异常,术中往往失血较多,因而输入了大量的库存血,极大影响了患者的预后.急性等容血液稀释(ANH)提供了新鲜的自体血液回输,减少了术中、术后的异体血输注[1],本研究旨在评估肝脏切除术中急性等容血液稀释的安全性及有效性. 1 资料与方法 1.1 一般资料入组标准:心、肺、肾功能正常,无其他合并疾病,无抗凝药物使用史,血红蛋白(Hb)≥120g/L,红细胞压积(Hct)≥35％,肝功能Child-pughA级,ASAⅠ-Ⅱ级.选择63例肝肿瘤切除患者,随机分为2组:ANH组(n=35),男24例,女11例,年龄32～～73岁,平均(45.42±13.34)岁;对照组(n=28),男21例,女7例,年龄41～75岁,平均46.26±12.67岁.
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