CAJ | 학술논문

目的：分析烧伤患者血液成分使用情况，为指导烧伤患者在治疗过程中实施科学合理输血提供依据。方法回顾性分析甘肃省人民医院2013年8月至2014年5月收治的249例烧伤患者输注的血液成分种类、数量。结果249例烧伤患者共用血液成分3962．50 U ，其中红细胞683．00 U （17．24％），血浆3274．50 U （82．64％），血小板5．00 U （0．12％）。O型血患者成分血用量最多（34．80％），AB型血患者用量最少（12．22％）。3岁以下烧伤患儿例数最多，占40．16％；40～＜55岁年龄段患者的输血量最大。结论该院烧伤患者血浆用量较多，临床医生应权衡输注价值和输注风险，正确把握输血治疗时机，根据患者情况制订不同的输血治疗方案。
목적：분석소상환자혈액성분사용정황，위지도소상환자재치료과정중실시과학합리수혈제공의거。방법회고성분석감숙성인민의원2013년8월지2014년5월수치적249례소상환자수주적혈액성분충류、수량。결과249례소상환자공용혈액성분3962．50 U ，기중홍세포683．00 U （17．24％），혈장3274．50 U （82．64％），혈소판5．00 U （0．12％）。O형혈환자성분혈용량최다（34．80％），AB형혈환자용량최소（12．22％）。3세이하소상환인례수최다，점40．16％；40～＜55세년령단환자적수혈량최대。결론해원소상환자혈장용량교다，림상의생응권형수주개치화수주풍험，정학파악수혈치료시궤，근거환자정황제정불동적수혈치료방안。
Objective To analyze status of utilization of blood components in burned patients so as to provide references for sci‐entific and rational transfusion during therapy .Methods 249 cases of burned patients in the Gansu Provincial Hospital from Aug . 2013 to May 2014 were retrospectively analyzed ,including types and amount of component blood transfusion .Results The total blood components transfused were 3 962 .50 U ,including red blood cells 683 .00 U (accounted for 17 .24% ) ,plasma 3 274 .50 U (accounted for 82 .64% ) ,platelet 5 .00 U (accounted for 0 .12% ) .O‐type blood was the maximum amount (34 .80% ) ,AB‐type blood was the minimum amount (12 .22% ) .The most amount were found in burned patients under the age of three (40 .16% ) .The maximum amount of blood transfusion was found in patients from 40 - <55 years old .Conclusion Burn patients in this hospital use more plasma ,clinicians should measure the value and transfusion risk before infusion of plasma .And it is necessary to grasp the opportunity of transfusion therapy correctly and make different transfusion regimens for burned patients .