大量输血患者用血情况及血液检测指标变化分析

发布时间：2018-05-18 10:26

本文选题：大量输血 + 输血策略　；参考：《中国输血杂志》2016年05期

【摘要】：目的分析大量输血患者的血液使用情况,了解大量输血患者血液检测指标的变化以及并发症和死亡率,为临床总结大量输血患者的输血方案提供依据。方法对本院2013年1月-2014年12月共155例大量输血病例进行分析,包括红细胞悬液、血浆、血小板和冷沉淀等成分血使用及输血前后血液检测指标变化情况。结果在155例输血病例中,红细胞平均用量为23 U,血浆平均用量为2 500 m L,23名患者使用了血小板,94名患者使用了冷沉淀。血液的发放多以红细胞4 U+血浆400-800 m L输血包方式。死亡患者与存活患者输血后24 h的Hb存在明显差异,(70.9±21.5)g/L vs(81.2±21.2)g/L(P0.05)。结论以红细胞4 U+血浆400-800 m L输血包方式的大量输血方案在临床应用广泛,且更利于患者预后。
[Abstract]:Objective to analyze the blood use of patients with massive blood transfusion, to understand the changes of blood test indexes, complications and mortality of patients with massive blood transfusion, and to provide the basis for clinical summary of the blood transfusion program of patients with massive blood transfusion. Methods from January 2013 to December 2014, 155 cases of blood transfusion were analyzed, including erythrocyte suspension, plasma, platelet and cryoprecipitation, and the changes of blood indexes before and after blood transfusion. Results in 155 cases of blood transfusion, the average dosage of red blood cells was 23 U, and the average dosage of plasma was 2 500 m / L. 94 patients with platelets were treated with cryoprecipitation. Most of the blood was given out by 4 U-800 ml red blood cell plasma. There was a significant difference in HB between the dead patients and the surviving patients 24 hours after blood transfusion. The difference was 70.9 卤21.5)g/L vs(81.2 卤21.2 g / L ~ (-1) L ~ (-1) P ~ (0.05). Conclusion A large amount of blood transfusion regimen with 400-800 mL red blood cell 4 U plasma is widely used in clinical practice and is more beneficial to the prognosis of the patients.
【作者单位】：四川大学华西医院输血科;
【分类号】：R457.1

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