CAJ | 학술논문

目的探讨中重度贫血的缺铁性贫血患者的输血把握以及经单纯静脉补铁是否能在短期内快速改善贫血症状，观察其不良反应，以减少输血风险。方法将60例有输血指征的缺铁性贫血患者随机分两组：30例患者不输血单纯静脉补蔗糖铁为实验组，30例予输血2U后再予静脉补蔗糖铁为对照组，持续观察治疗4w，比较两组HGB提升差异以及不良反应发生情况。结果对照组在前3w HGB上升水平要高于试验组(<0.05)；治疗至第4w时，两组HGB上升水平无明显统计学差异(>0.05)。结论临床上遇到有输血指征的缺铁性贫血患者，当无明显活动性出血及生命体征稳定时，为避免输血风险及减轻血源紧张，可尝试单纯静脉补铁，亦可较短时间内纠正贫血。
목적탐토중중도빈혈적결철성빈혈환자적수혈파악이급경단순정맥보철시부능재단기내쾌속개선빈혈증상，관찰기불량반응，이감소수혈풍험。방법장60례유수혈지정적결철성빈혈환자수궤분량조：30례환자불수혈단순정맥보자당철위실험조，30례여수혈2U후재여정맥보자당철위대조조，지속관찰치료4w，비교량조HGB제승차이이급불량반응발생정황。결과대조조재전3w HGB상승수평요고우시험조(<0.05)；치료지제4w시，량조HGB상승수평무명현통계학차이(>0.05)。결론림상상우도유수혈지정적결철성빈혈환자，당무명현활동성출혈급생명체정은정시，위피면수혈풍험급감경혈원긴장，가상시단순정맥보철，역가교단시간내규정빈혈。
Objective To study Severe anaemia in IDA blood transfusion grasp and investigate patients with iron deficiency anemia in moderate and severe anemia to cure simple intravenous iron whether can quickly improve symptoms of anemia in the short term,to observe the adverse reaction,in order to reduce the risk of blood transfusion.Methods 60 cases of transfusion indications in patients with iron deficiency anemiawere randomly divided into two groups:30 patients without blood transfusion of intravenous iron sucrose alone as the experimental group,30 cases treated with blood transfusion of 2U fol owed by intravenousiron sucrose as the control group,the observation lasted for 4 weeks,compared with two groups of HGB to enhance the dif erences and theadverse reactions occur ence the situation.Results 3 weeks before,the control group is higher than the experimental group in the rise of HGB level ( <0.05);therapy at fourth weeks,there was no statistical y significant dif erences between two groups of HGB increased levels( >0.05).Conclusion The clinical encounter with a blood transfusion indications in patients with iron deficiency anemia,when bleeding and vital signs were stable and no obvious activities,in order to avoid the risk of blood transfusion and reduce the blood source nervous,try simple intravenous iron supplement,also can be in a relatively short period of time to correct the anemia.