剖宫产患者凝血四项及血小板水平变化及意义

发布时间：2018-05-06 05:13

本文选题：产后出血 + 凝血四项　；参考：《山东医药》2015年20期

【摘要】：目的观察剖宫产患者凝血四项及血小板水平,探讨其在产后出血与产后输血中的意义。方法选择剖宫产患者242例,根据产后输血量分为正常组(未输血)125例、少量出血组(输血500~1 600 m L)79例、大量出血组(输血1 600 m L)74例。采用全自动血凝分析仪、血常规分析仪检测3组产前及大量出血组输血前后凝血四项及血小板水平。结果正常组、少量出血组、大量出血组产前PT、APTT依次升高,FIB、PLT依次降低,P均0.05。与输血前比较,大量出血组输血后第3天PT、APTT、TT降低,FIB、PLT升高,P均0.05。结论剖宫产患者产前、输血过程中均出现凝血四项、PLT水平异常,监测其变化有助于预防产后出血及输血并发症发生。
[Abstract]:Objective to observe the level of blood coagulation and platelet in patients with cesarean section and to explore its significance in postpartum hemorrhage and postpartum blood transfusion. Methods 242 cases of cesarean section were divided into normal group (125 cases without blood transfusion), small amount of bleeding group (79 cases with blood transfusion of 1 600 ml / L) and massive hemorrhage group (74 cases of blood transfusion 1 600 mL / L) according to postpartum blood transfusion volume. The blood coagulation and platelet levels before and after blood transfusion were detected by automatic hemagglutination analyzer and blood routine analyzer. Results in the normal group, the small amount of bleeding group and the large amount of bleeding group, the serum PTT APTT increased in turn and decreased in turn (P 0.05). Compared with that before blood transfusion, PTT APTTTT decreased significantly in patients with massive hemorrhage on the 3rd day after blood transfusion, and increased in FIBPLT (P 0.05). Conclusion the abnormal level of four items of PLT in patients with cesarean section before and after blood transfusion. Monitoring the changes of PLT is helpful to prevent postpartum hemorrhage and complications of blood transfusion.
【作者单位】：南京医科大学附属南京妇幼保健院;
【分类号】：R719.8

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