中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2013年
12期
1305-1307
,共3页
输血%医院,综合
輸血%醫院,綜閤
수혈%의원,종합
Blood transfusion%Hospitals,general
目的 了解综合医院老年人大量输血现状,旨在提高临床合理用血水平,保障老年人用血安全. 方法 收集2011年7月至2012年12月我院大量输血的100例患者临床资料,选取60岁及以上患者32例作为老年组,并与全院其他非老年组患者进行比较与分析,入选患者临床输血指征均符合卫生部2000年颁布的《临床输血技术规范》要求. 结果 大量输血的老年患者所在临床科室以外科为主,包括骨科、普通外科、肝胆外科、心脏外科和泌尿外科,其次为消化内科,平均年龄分别为71.5岁、69.9岁、72.0岁、66.0岁、65.5岁、70.8岁,分别占该科室大量用血患者的50.0％、70.0％、20.0％、75.0％、20.0％和66.7％;其中消化内科、普通外科、肝胆外科和骨科老年患者例均用血量高于非老年患者例均用血量,红细胞成分例均差分别为14.0U、7.0U、5.2U和4.1U;血浆成分例均差分别为23.3U、8.4U、8.0U、0.5U;肝胆外科的血小板成分例均差为1.6U. 结论 老年人输血风险通常大于非老年人,应合理选择有效血液成分,减少不必要的输血,减少对血浆输注的依赖和不必要的搭配输血,避免负荷过重和不良输血反应的发生.
目的 瞭解綜閤醫院老年人大量輸血現狀,旨在提高臨床閤理用血水平,保障老年人用血安全. 方法 收集2011年7月至2012年12月我院大量輸血的100例患者臨床資料,選取60歲及以上患者32例作為老年組,併與全院其他非老年組患者進行比較與分析,入選患者臨床輸血指徵均符閤衛生部2000年頒佈的《臨床輸血技術規範》要求. 結果 大量輸血的老年患者所在臨床科室以外科為主,包括骨科、普通外科、肝膽外科、心髒外科和泌尿外科,其次為消化內科,平均年齡分彆為71.5歲、69.9歲、72.0歲、66.0歲、65.5歲、70.8歲,分彆佔該科室大量用血患者的50.0％、70.0％、20.0％、75.0％、20.0％和66.7％;其中消化內科、普通外科、肝膽外科和骨科老年患者例均用血量高于非老年患者例均用血量,紅細胞成分例均差分彆為14.0U、7.0U、5.2U和4.1U;血漿成分例均差分彆為23.3U、8.4U、8.0U、0.5U;肝膽外科的血小闆成分例均差為1.6U. 結論 老年人輸血風險通常大于非老年人,應閤理選擇有效血液成分,減少不必要的輸血,減少對血漿輸註的依賴和不必要的搭配輸血,避免負荷過重和不良輸血反應的髮生.
목적 료해종합의원노년인대량수혈현상,지재제고림상합리용혈수평,보장노년인용혈안전. 방법 수집2011년7월지2012년12월아원대량수혈적100례환자림상자료,선취60세급이상환자32례작위노년조,병여전원기타비노년조환자진행비교여분석,입선환자림상수혈지정균부합위생부2000년반포적《림상수혈기술규범》요구. 결과 대량수혈적노년환자소재림상과실이외과위주,포괄골과、보통외과、간담외과、심장외과화비뇨외과,기차위소화내과,평균년령분별위71.5세、69.9세、72.0세、66.0세、65.5세、70.8세,분별점해과실대량용혈환자적50.0％、70.0％、20.0％、75.0％、20.0％화66.7％;기중소화내과、보통외과、간담외과화골과노년환자례균용혈량고우비노년환자례균용혈량,홍세포성분례균차분별위14.0U、7.0U、5.2U화4.1U;혈장성분례균차분별위23.3U、8.4U、8.0U、0.5U;간담외과적혈소판성분례균차위1.6U. 결론 노년인수혈풍험통상대우비노년인,응합리선택유효혈액성분,감소불필요적수혈,감소대혈장수주적의뢰화불필요적탑배수혈,피면부하과중화불량수혈반응적발생.
Objective To investigate the clinical status of massive transfusion in elderly patients in general hospital in order to improve the clinical use of blood and ensure the security of blood transfusion in elderly patients.Methods 100 patients who required massive transfusion were divided into 2 groups:elderly group (patients aged 60 years and over,n=32) and non-elderly group (patients aged under 60 years,n=68).Clinical blood transfusion indications in all patients met the Technical Criterion of Clinical Blood Transfusion issued by Ministry of Health of the People's Republic of China in 2000.Clinical data were analyzed and compared between the two groups.Results Elderly patients with massive transfusion were mainly in department of surgery,including department of orthopedics,general surgery,hepatobiliary surgery,cardiac surgery and urology surgery and gastroenterology,and the mean age of patients in these departments was 71.5 years,69.9 years,72.0 years,66.0 years,65.5 years,70.8 years respectively,accounting for 50.0％,70.0％,20.0％,75.0％,20.0％ and 66.7％ in all patients who required massive blood transfusion respectively.The mean blood transfusion volumes were higher in patients in department of gastroenterology,general surgery,hepatobiliary surgery and orthopedic,in which the mean units of red blood cell components transfusion were 14.0 U,7.0 U,5.2 U and 4.1U respectively,the mean units of plasma components transfusion were 23.3 U,8.4 U,8.0 U,0.5 U respectively,and the mean uint of platelet components transfusion was 1.6 U in hepatobiliary surgery.Conclusions The risk of blood transfusion is higher in the elderly than in the non elderly.We should select the effective blood components reasonablely,reduce the unnecessary blood transfusion and decrease the dependence on plasma transfusion to avoid the transfusion overload and adverse reactions.
