临床输血与检验2016，Vol.18Issue(6)：528-530,531,4.DOI:10.3969/j.issn.1671-2587.2016.06.005
ICU住院患者临床输血调查
An Investigation of Clinical Blood Transfusion in ICU Patients
摘要
Abstract
Objective To understand the status of blood component transfusion,infusion volume,rationality and outcomes in the ICU patients.Methods Retrospective investigation from June to December2015 was executed in274 ICU patients who had underwent blood component transfusion,whole blood transfusion and transfusion indications.Laboratory tests and curative effect were analyzed.Results Of274 cases of severe patients with blood transfusions,91.2%(250/274),87.2%(239/274),2.6%(7/274),and5.8%(16/274) of them received infusion of red blood cells, plasma,cryo,and platelets. The biggest red blood cell transfusion volume was seen in the patients of thoracic surgery, gastrointestinal bleeding,postpartum hemorrhage,accounting for61.2%(153/250).15.3 percent(42/274)and29.5%(84/274)of patients had RBC transfusion whose Hb was over100 g/L and Hb was between70~100 g/L,Patients with Hb<of70 g/L had RBC transfusion rate of46.4%(127/274)89.1 percent(213/239)of ICU patients presented low PT, APTT and Fib,with an average value of<50×109/L and a rational use of plasma,platelets and cryo. The volume of RBC transfusion was gradually increased with the duration of hospitalization,and no significant association of mortality with the volume of RBC use was noted.Conclusion In ICU patients,combination of two blood components were frequently used,and the rationality was seen in transfusions of plasma,cryo,and platelets rather than in red blood cells.关键词
重症患者/血液成分输注/输血指征/转归/合理性Key words
Severe patients/Blood component transfusion/Evidence of blood transfusion/The outcome/Rationality分类
医药卫生引用本文复制引用
李红梅,王远杰..ICU住院患者临床输血调查[J].临床输血与检验,2016,18(6):528-530,531,4.基金项目
本课题受四川省卫生厅项目（No.120023）、四川省科技厅科技支撑计划（No.2014SZ0033）资助 （）
