中国输血杂志2025，Vol.38Issue(2)：268-273,6.DOI:10.13303/j.cjbt.issn.1004-549x.2025.02.018
高原高寒地区大量输血患者血液管理策略
Blood management strategy for massive transfusion patients in frigid plateau region:a case report and literature re-view
王海莹 1张进进 1陈立力 1孙晓丽 1魏翠 1黄永莉 1朱迎春 1陈冲 1邢颜超1
作者信息
- 1. 新疆军区总医院 输血科,新疆 乌鲁木齐 830002
- 折叠
摘要
Abstract
Objective To explore the strategy of blood management in patients with massive transfusion in the frigid plateau region.Methods The treatment process of a patient with liver rupture in the frigid plateau region was analyzed,and the blood management strategy of the frigid plateau region was discussed in combination with the difficulties of blood transfusion and literature review.Results The preoperative complete blood count(CBC)test results of the patient were as follows:RBC 3.14×1012/L,Hb 106 g/L,HCT 30.40%,PLT 115.00×109/L;coagulation function:PT 18.9 s,FiB 1.31 g/L,DD>6 μg/mL,FDP 25.86 μg/mL;ultrasound examination and imaging manifestations suggested liver contusion and laceration/intraparenchymal hematoma,splenic contusion and laceration,and massive blood accumulation in the abdomi-nal cavity;it was estimated that the patient's blood loss was≥2 000 mL,and massive blood transfusion was required dur-ing the operation;red blood cell components were timely transfused during the operation,and the blood component transfu-sion was guided according to the patient's CBC and coagulation function test results,providing strong support and guarantee for the successful treatment of the patient.The patient recovered well after the operation,and the CBC test results were as follows:RBC 4.32×1012/L,Hb 144 g/L,HCT 39.50%,PLT 329.00×109/L;coagulation function:APTT 29.3 s,PT 12.1 s,FiB 2.728 g/L,DD>6 μg/mL,FDP 25.86 μg/mL.The patient was discharged after 20 days,and regular follow-up reexamination showed no abnormal results.Conclusion Individualized blood management strategy should comprehen-sively consider the patient's clinical symptoms,the degree of hemoglobin decline,dynamic coagulation test results and exist-ing treatment conditions.Efficient and reasonable patient blood management strategies can effectively improve the clinical outcomes of massive transfusion patients in the frigid plateau region.关键词
高原高寒地区/大量输血/患者血液管理Key words
the frigid plateau region/massive transfusion/patient blood management(PBM)分类
临床医学引用本文复制引用
王海莹,张进进,陈立力,孙晓丽,魏翠,黄永莉,朱迎春,陈冲,邢颜超..高原高寒地区大量输血患者血液管理策略[J].中国输血杂志,2025,38(2):268-273,6.
