CAJ | 학술논문

目的：探讨成分血在治疗产后大量出血患者中的应用。方法30例产后大量出血患者，分为两组，Ⅰ组是单纯产科因素，Ⅱ组合并激活凝血、纤溶、抗凝系统的疾病。统计分析两组总出血量、凝血功能异常发生时出血量及发生时间，各组血液成分应用比例。结果两组全部治愈。Ⅰ组当出血达一定量（3000±400 mL）时，才发生凝血功能异常，Ⅱ组在出血的早期（出血量1000±400 mL）即出现了凝血功能异常。结论产后大量出血时，应警惕凝血病的发生，早期输注血浆有助改善预后，合理使用成分血，对处理产后大量出血十分重要。
목적：탐토성분혈재치료산후대량출혈환자중적응용。방법30례산후대량출혈환자，분위량조，Ⅰ조시단순산과인소，Ⅱ조합병격활응혈、섬용、항응계통적질병。통계분석량조총출혈량、응혈공능이상발생시출혈량급발생시간，각조혈액성분응용비례。결과량조전부치유。Ⅰ조당출혈체일정량（3000±400 mL）시，재발생응혈공능이상，Ⅱ조재출혈적조기（출혈량1000±400 mL）즉출현료응혈공능이상。결론산후대량출혈시，응경척응혈병적발생，조기수주혈장유조개선예후，합리사용성분혈，대처리산후대량출혈십분중요。
Objective To investigate the application of blood component in the treatment of excessive postpartum hemorrhage.Meth-ods Thirty patients with excessive postpartum hemorrhage were divided into two groups.Group A included patients without any deficiency in blood clotting,while Group B included patients with some deficiency in blood clotting due to activated blood clotting,fibrinolysis or other dis-eases concerning anti-clotting system.A statistics analysis was made on total hemorrhage,amount and time of hemorrhage upon clotting dys-function and the proportions of blood components in the two groups.Results All patients were completely cured.In cases of Group A,clotting dysfunction occurred when the hemorrhage amounted to(3 000 ±400)mL;in cases of Group B,clotting dysfunction occurred when the hemor-rhage amounted to(1 000 ±400)mL,i.e.the early stage of hemorrhage.Conclusion Blood clotting diseases should be treated as a key alert upon excessive postpartum hemorrhage.Transfusion of plasma in early stage of hemorrhage can promote postpartum recovery.