全子宫切除术异体红细胞输注情况分析

发布时间：2018-04-28 20:12

本文选题：全子宫切除术 + 围术期　；参考：《中国输血杂志》2017年06期

【摘要】：目的回顾分析本院妇科全子宫切除术的临床病例资料,总结全子宫切除术输血治疗现状和特点。方法收集2014-2017年在本院行妇科全子宫切除术的病例,统计其中围术期输血病例,分析不同术中出血量、不同手术方式等输血情况及特点,比较组别间输注红细胞的量及输血前后指标变化。结果本院全子宫切除术患者输血率20.1%,术前输血量占66.3%,平均红细胞输注量(3.8±1.9)U,平均红细胞输注量术前术中术后且差异具有统计学意义。输血病例不同术中出血量平均RBC输注量差异无统计学意义。不同Hb指征的比较:输血率、术前输血率及术前输血量,Hb80 g/L组最高,差异有统计学意义。不同手术方式比较:术中出血量以开腹全切最多,腹腔镜全切次之,阴式切除最少;术中后输血率有差异,术中术后平均RBC输注量无差异。不同输血量的比较:各组之间输血前后Hb差值比较,差异具有统计学意义。结论我院全子宫切除术输血指征把握较好,输血疗效较好;应选择恰当手术方式,积极开展微创手术,减少异体血输注。
[Abstract]:Objective to retrospectively analyze the clinical data of gynecologic hysterectomy in our hospital and summarize the current situation and characteristics of transfusions in total hysterectomy. Methods the cases of gynecologic total hysterectomy in our hospital from 2014 to 2017 were collected, and the blood transfusion cases during perioperative period were counted, and the blood transfusion status and characteristics of different intraoperative blood loss and different operation methods were analyzed. The changes of erythrocyte volume and indexes before and after blood transfusion were compared between groups. Results the blood transfusion rate of patients undergoing hysterectomy in our hospital was 20.1%. The blood transfusion volume was 66.3%, the mean erythrocyte transfusion volume was 3.8 卤1.9 渭 m, and the difference was statistically significant before and after operation. There was no significant difference in mean RBC infusion volume between different intraoperative blood transfusion cases. Comparison of different HB indications: the blood transfusion rate, preoperative blood transfusion rate and preoperative blood transfusion volume were the highest in Hb80 g / L group, and the difference was statistically significant. Comparison of different operative methods: the volume of intraoperative bleeding was the highest in total laparotomy, followed by laparoscopic total resection, and the least in negative resection. The blood transfusion rate was different after operation, and the average RBC infusion volume was not different after operation. Comparison of different blood transfusions: the difference of HB before and after transfusion was statistically significant. Conclusion the indication of transfusions in total hysterectomy in our hospital is better and the effect of transfusion is better, and the appropriate operative method should be chosen to carry out minimally invasive operation to reduce the transfusion of allogeneic blood.
【作者单位】：安徽医科大学附属六安医院输血科;
【分类号】：R457.1;R713.42

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