Abstract：Intra-operative cell salvage refers to the collection, storage of the patients′ own blood prior to surgery, or the collection of blood from a patients′ surgery or trauma during surgery and return to the patient.At present, the main concerns of intra-operative cell salvage in cesarean section are hemolytic diseases caused by amniotic fluid embolism and fetal red blood cell transfusion, and also include problems such as assessment of red blood cell quality, coagulation dysfunction and leukocyte filtration.Under the premise of correctly grasping the indications and standardizing the operation, intra-operative cell salvage during cesarean section is safe and effective, which can effectively reduce the amount of allogeneic blood transfusion during surgery.
Hibbs SP，Roberts I，Shakur-Still H，et al.Post-part um haemorrhage and tranexamic acid：a global issue[J].Br J Haematol，2018，180（6）：799-807.
[4]
Rebarber A，Lonser R，Jackson S，et al.The safety of intraoperative autologous blood collection and autotransfusion during cesarean section[J].Am J Obstet Gynecol，1998，179（3）：715-720.
[7]
Waters JH，Biscotti C，Potter PS，et al.Amniotic fluid removal during cell salvage in the cesarean section patient[J].Anesthesiology，2000，92（6）：1531-1536.
[9]
Sullivan IJ，Ralph CJ.Obstetric intra-operative cell salvage and maternal fetal red cell contamination[J].Transfus Med，2018，28（4）：298-303.
[10]
Huang J，Qin D，Gu C，et al.Autologous and nonautologous blood transfusion in patients with tuptured ectopic pregnancy and severe blood loss[J].Biomed Res Int，2017，2017（7-8）：1-9.
[11]
American society of anesthesiologists（ASA）task force on perioperative blood transfusion and adjuvant therapies.Practice guidelines for perioperative blood transfusion and adjuvant therapies an updated report by the American society of anesthesiologists task force on perioperative blood transfusion and adjuvant therapie[J].Anesthesiology，2006，105（1）：198-208.
[13]
Fadok VA，Bratton DL，Rose DM，et al.A receptor for phosphatidylserine-specific clearance of apoptotic cells[J].Nature，2000，405（6782）：85-90.
[14]
Nishiyama T，Aibiki M，Hanaoka K.The effect of ulinastatin，a human protease inhibitor，on the transfusion-induced increase of plasma polymorphonuclear granulocyte elastase[J].Anesth Analg，1996，82（1）：108-112.
[15]
贺志安，输血医学概论[M].北京：科学出版社，2018：107-116.
[16]
Khan KS，Moore PAS，Wilson MJ，et al.Cell salvage and donor blood transfusion during cesarean section a pragmatic，multicentre randomised controlled trial[J].PLoS Med，2017，14（12）：e1002471.
[17]
Sullivan IJ，Ralph CJ.Obstetric intra-operative cell salvage：a review of an established cell salvage service with 1170 re-infused cases[J].Anaesthesia，2019，74（8）：976-983.
King M，Wrench I，Galimberti A，et al.Introduction of cell salvage to a large obstetric unit the first six months[J].Int J Obstet Anesth，2009，18（1）：111-117.
[21]
Morikawa M，Kuramoto A，Nakayama M，et al.Intraoperative red cell salvage during obstetric surgery in 50 Japanese women[J].Int J Gynaecol Obstet，2014，128（3）：256-259.
[22]
Zeng K，Huang W，Yu C，et al.How about the effect of intraoperative cell salvage on allogeneic blood transfusion for patients with placenta accrete：an observational study[J].Medicine（Baltimore），2018，97（22）：e10942.
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