冰冻血小板用于危重血液病临床观察

发布时间：2018-04-19 12:50

本文选题：危重血液病 + 冰冻血小板　；参考：《山东医药》2017年36期

【摘要】：目的探讨冰冻血小板用于危重血液病患者的临床效果,为其临床应用提供参考。方法选择危重血液病患者107例,根据输注血小板不同分为输注冰冻30天血小板者53例(冰冻血小板组,输注冰冻血小板60例次)、输注新鲜血小板者54例(新鲜血小板组,输注新鲜血小板66例次)。两组输注血小板前及输注24 h进行血小板计数,计算24 h血小板计数增加校正指数(CCI),并评价输注效果。结果冰冻血小板组和新鲜血小板组24 h CCI分别为(11.90±7.33)×10~9/L、(10.40±6.14)×10~9/L,输注有效率分别为76.7%(46/60)和78.8%(52/66),两组比较P均0.05。结论危重血液病患者24 h内输注冰冻血小板与输注新鲜血小板临床效果相当,均能达到抢救止血的目的。
[Abstract]:Objective to investigate the clinical effect of frozen platelets in patients with critical hematologic diseases and to provide reference for its clinical application.Methods 107 patients with critical hematological diseases were selected and divided into three groups according to platelet transfusion: 53 patients were infused with frozen platelet for 30 days (frozen platelet group, 60 patients received frozen platelet transfusion, 54 patients received fresh platelet transfusion (fresh platelet group).Fresh platelets were infused in 66 cases.The platelet count was calculated before and 24 hours after platelet transfusion in both groups. The increase correction index (CCI) of platelet count was calculated at 24 h and the effect of infusion was evaluated.Results the 24 h CCI of frozen platelet group and fresh platelet group were 11.90 卤7.33 脳 10 ~ (9) / L ~ (10.40 卤6.14) 脳 10 ~ (9 / L) 脳 10 ~ (9) / L, respectively. The effective rates of infusion were 76.7% 46 / 60) and 78.8% ~ 52% / 66 ~ (-1), respectively (P < 0.05).Conclusion the clinical effect of transfusion of frozen platelets and fresh platelets in critically ill patients within 24 hours is the same as that of fresh platelets, which can achieve the purpose of saving and hemostasis.
【作者单位】：威海市中心血站;威海市立医院;
【基金】：威海市科学发展计划项目(2015GNS049)
【分类号】：R457.1;R55

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