中国输血杂志2017，Vol.30Issue(12)：1357-1360,4.DOI:10.13303/j.cjbt.issn.1004-549x.2017.12.012
某医院72例大量输血病例回顾性分析
Retrospective analysis of 72 cases of massive blood transfusion
陈凤 1李丹 1王静 1苏芝军1
作者信息
- 1. 内蒙古自治区人民医院输血科,内蒙古呼和浩特010017
- 折叠
摘要
Abstract
Objective To evaluate the current situation of clinical massive blood transfusion in hospitals in an effort to develop scientific,rational and safe clinical blood application strategies.Methods Massive blood transfusion cases of 2016 were collected from data base of the subject hospital.The data were retrospectively analyzed according to related regulations.Results A total of 72 cases of massive blood transfusion were processed.72 cases performed red blood cells transfusion with a total infusion quantity of 995.5 U at 13.8 U per case;69 cases received fresh frozen plasma with a total infusion volume of 100 670 mL at 1 398.2 mL/case;43 cases adopted cold precipitation with a total infusion volume of 713.4 U at 9.9 U per case;26 cases were treated with single platelet transfusion with a total infusion volume of 41 treatment units at 0.6 treatment units per case.These cases sourced from 12 departments in the hospital with the top 3 being the cardiovascularsurgery department (45.83％),the department of hepatobiliary surgery (12.5％) and the gastrointestinal surgery department (8.34％).Disease-wise,tumor,aortic dissection,liver/spleen rupture and gastrointestinal bleeding were the top blood-consuming diseases.Patients with abnormal coagulation pre-operation accounted for 65.28％ of the total patient volume while anemia accounted for 37.5％ of the total volume.Death occurred in 19 cases with a mortality rate of 26.4％.The fatal cases mainly sourced from the cardiovascular surgery department and the department of hepatobiliary surgery.Conclusion It appears that departments involved in this research had difficulties in designing proper component combinations when it comes to massive blood transfusion.Most of the departments failed to identify valid proof and evidence for transfusion strategies,which was usually accompanied by bad transfusion timing as well.As for the application of cold precipitation and platelets,timing and transfusion quantity strategies are crucial yet not very well performed by these departments.In addition,the ratio of platelet and cold precipitation in a "mixed blood" treatment often fails to meet the sensible treating range.The empirical,habitual use of blood also exhibits potential risks.Last but no least,perioperative anemia and coagulation abnormalities have not been coped with in time.关键词
大量输血/红细胞悬液/血浆/血小板/冷沉淀Key words
massive blood transfusion/red blood cell suspension/plasma/platelet/cold precipitation分类
临床医学引用本文复制引用
陈凤,李丹,王静,苏芝军..某医院72例大量输血病例回顾性分析[J].中国输血杂志,2017,30(12):1357-1360,4.
