Cesarean section for massive hemorrhage
Conditions
Interventions
IOCS Group:None
Sponsors
Meizhou People's Hospital
Eligibility
Sex/Gender
Female
Age
18 Years to 45 Years
Inclusion criteria
Inclusion criteria: 1. Aged 18–45 years; 2. Undergoing cesarean section with intraoperative blood loss > 1000 mL; 3. Complete documentation of intraoperative blood loss; availability of intraoperative arterial blood gas analysis; traceable results of preoperative and postoperative routine coagulation tests (PT, APTT, INR, TT) and complete blood count (CBC); 4. IOCS group: Intraoperative use of autologous cell salvage (ACS) with the salvaged blood reinfused through a leukocyte depletion filter (LDF); 5. Conventional group: Patients with the same degree of blood loss during the same period but without the use of ACS.
Exclusion criteria
Exclusion criteria: 1. Patients who underwent concurrent surgery on other organs during the procedure that may affect the assessment of blood loss; 2. Patients who were transferred to our hospital for emergency cesarean section after examination at another hospital, with missing preoperative laboratory data in our hospital; 3. Patients in whom ACS + LDF was used during surgery but reinfusion was not performed due to equipment malfunction.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The rate of change in arterial oxygen content (CaO?); | — |
Secondary
| Measure | Time frame |
|---|---|
| Inflammation-Coagulation Restricted Index (ICI-R);Oxygenation index (OI);Lactate;Allogeneic blood transfusion volume;Length of stay (LOS) Hospital stay duration; | — |
Countries
China
Contacts
Public ContactZhi Chen
Meizhou People's Hospital
Outcome results
None listed