CAJ | 학술논문

目的探讨围手术期患者高需求用血的相关因素，为临床合理用血提供指导依据。方法选择2010年2月1日-2013年2月1日新疆医科大学第六附属医院各科手术患者围手术期输血患者736例的原始资料，分析高需求用血（输血量≥1000mL）的49例患者需血相关因素，包括术前、术中及术后并发症观察，分析高需求用血患者需血原因。结果总的大量输血的发生率为6．66％（49/736），49例高需求患者失血量为（267．68±104．52）mL，远大于同类手术普通失血患者失血量[（235．32±57．85）mL]。结论围手术期患者高需求输血的主要原因为：术前贫血、术中大量出血、术后并发症出血，也与较长的手术时间、病因或手术部位等多因素相关。医生应该提高手术技能、缩短手术时间、加强术中和术后管理，以避免大量缺血。
목적탐토위수술기환자고수구용혈적상관인소，위림상합리용혈제공지도의거。방법선택2010년2월1일-2013년2월1일신강의과대학제륙부속의원각과수술환자위수술기수혈환자736례적원시자료，분석고수구용혈（수혈량≥1000mL）적49례환자수혈상관인소，포괄술전、술중급술후병발증관찰，분석고수구용혈환자수혈원인。결과총적대량수혈적발생솔위6．66％（49/736），49례고수구환자실혈량위（267．68±104．52）mL，원대우동류수술보통실혈환자실혈량[（235．32±57．85）mL]。결론위수술기환자고수구수혈적주요원인위：술전빈혈、술중대량출혈、술후병발증출혈，야여교장적수술시간、병인혹수술부위등다인소상관。의생응해제고수술기능、축단수술시간、가강술중화술후관리，이피면대량결혈。
Objective To explore the relevant factors of high blood demand at the peri-operative period and provide guidance for clinical appropriate use of blood .Methods A total of 736 patients w ho received peri-operative blood transfusion from February 1 ,2010 to February 1 ,2013 in the Sixth Affiliated Hospital of Xinjiang Medical University were included in this study ,the relevant factors of 49 patients who had more than 1 000 mL blood transfusion were investigated ,including observation of preoperative ,intraoperative and postoperative complications and the cause of high blood demand .Results The overall incidence of massive transfusion was 6 .7% (49/736) ,the blood loss volume of 49 patients with high blood demand was (267 .68 ± 104 .52) mL ,which was higher than the control (235 .32 ± 57 .85) mL .Conclusion The main factors of high blood demand are preoperative anemia ,intraoperative bleeding and postoperative complica-tions .It is also associated with longer operative time ,cause of disease or the surgical site et al .Improved surgical skills ,shorter operative time and strengthening intraoperative and postoperative management are effective methods to avoid ischemia .