某院外科手术备血与术中用血分析

发布时间：2018-01-05 20:09

本文关键词：某院外科手术备血与术中用血分析　出处：《中国输血杂志》2017年08期 　论文类型：期刊论文

【摘要】：目的根据外科手术患者不同部位与疾病,制定外科手术备血策略。方法收集重庆市急救医疗中心2014年1月-2015年12月外科手术患者术前备血和术中用血数据,用SPSS 19.0对其进行分析,比较不同疾病的手术用血率。结果手术总用血率约为42.3%,不同手术部位与疾病患者手术用血率从高到低依次为失血性休克77.3%,颅脑损伤63.2%,心脏疾病56.5%,多发伤55.3%,肝胆损伤46.5%,骨折40.8%,胃肠道疾病39.1%,腹部损伤39.0%,车祸伤38.9%,锐器、钝器伤38.4%,颅内出血36.5%,动脉瘤30.4%,胸部损伤19.7%,食管癌、肺癌10.6%。结论外科手术患者备血,应根据手术部位与疾病、实际用血量和实际用血人数建立外科手术患者手术备血策略:用血百分比30%的手术,不用备血;≥30%进行交叉配血,实际备血量根据患者具体情况而定,保证临床输血安全、合理、有效。
[Abstract]:According to different parts and disease in surgical patients, making surgical preparation of blood. Methods the collection of Chongqing emergency medical center in January 2014 December -2015 surgery in patients with preoperative preparation of blood and intraoperative blood data analysis by SPSS 19 of the blood, rate of different diseases surgery. Results the operation with blood the rate is about 42.3%, different surgical site and disease patients with blood rate from high to low were 77.3% hemorrhagic shock, 63.2% craniocerebral injury, 56.5% heart disease, multiple injuries in 55.3%, bile duct injury 46.5%, fracture in 40.8%, gastrointestinal diseases 39.1%, abdominal injury in 39%, traffic accident in 38.9%, sharp, blunt injury in 38.4% 36.5%, intracranial hemorrhage, 30.4% aneurysms, chest injury in 19.7%, esophageal cancer, lung cancer patients with 10.6%. surgery should be based on the conclusion of surgical blood preparation, surgical site and disease, the actual output and the actual number of surgical patients with hand blood Operation strategy: preparation of blood blood percentage of 30% of the operation, do not prepare blood; more than 30% of the actual preparation of blood crossmatch, depending on the specific circumstances of patients, ensure the clinical blood transfusion safety, reasonable and effective.

【作者单位】：重庆市急救医疗中心输血科;
【分类号】：R457.1;R61
【正文快照】： 在现代医学中,输血作为临床抢救和治疗的重要手段发挥着越来越重要甚至不可取代的地位,对于外科手术尤为重要,因此,手术患者术前备血已成为血液安全工作中不可缺少的一部分。本院担负全市公共卫生急救医疗任务,外科手术较多,为更好地对临床手术顺利进行提供保障,充分发挥输血

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