中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2014年
20期
25-26
,共2页
成分输血%凝血指标%血小板
成分輸血%凝血指標%血小闆
성분수혈%응혈지표%혈소판
Component blood transfusion%Blood coagulation indexes%Blood platelet
目的：探讨大量成分输血对患者凝血机制的干预。方法73例大量成分输血患者,输注悬浮红细胞量平均11 U,输注冰冻血浆量平均8 U。输血前、输血后4 h检测凝血指标。结果73例患者输血前后凝血因子差异有统计学意义(P均<0.01)；血小板显著下降,差异有统计学意义(P<0.01)。结论大量成分输血对凝血功能有重要影响,应及时检测凝血因子及血小板,并通过血液加温以及针对性的补充血小板和凝血因子来减少出血风险。
目的：探討大量成分輸血對患者凝血機製的榦預。方法73例大量成分輸血患者,輸註懸浮紅細胞量平均11 U,輸註冰凍血漿量平均8 U。輸血前、輸血後4 h檢測凝血指標。結果73例患者輸血前後凝血因子差異有統計學意義(P均<0.01)；血小闆顯著下降,差異有統計學意義(P<0.01)。結論大量成分輸血對凝血功能有重要影響,應及時檢測凝血因子及血小闆,併通過血液加溫以及針對性的補充血小闆和凝血因子來減少齣血風險。
목적：탐토대량성분수혈대환자응혈궤제적간예。방법73례대량성분수혈환자,수주현부홍세포량평균11 U,수주빙동혈장량평균8 U。수혈전、수혈후4 h검측응혈지표。결과73례환자수혈전후응혈인자차이유통계학의의(P균<0.01)；혈소판현저하강,차이유통계학의의(P<0.01)。결론대량성분수혈대응혈공능유중요영향,응급시검측응혈인자급혈소판,병통과혈액가온이급침대성적보충혈소판화응혈인자래감소출혈풍험。
ObjectiveTo analyze intervention of a large number of component blood transfusion on blood coagulation mechanism.MethodsRetrospectively analyzed clinical data of 73 patients with a large number of component blood transfusion. The infusion of suspension red blood cell volume average of 11 U, infusion of average frozen plasma volume of 8 U. Blood clotting index 4 h before and after blood transfusion was detected.Results73 cases of patients before and after blood transfusion blood coagulation factor had significant changes, the difference was statistically significant(P<0.01), blood platelet reducted significantly, the difference was statistically significant(P<0.01).ConclusionA large number of component blood transfusion has important influence on blood coagulation function, blood platelet and clotting factors should be timely detected, and through blood heat and corresponding platelet and blood coagulation factor supplementary to reduce risk of bleeding.
