贮存全血电解质的检测与临床应用  

Detection and clinical application of electrolyte in storage whole blood

作　　者：戎世琴[1] 

机构地区：[1]海安县人民医院血站,江苏海安226600

出　　处：《现代医药卫生》2006年第2期171-172,共2页Journal of Modern Medicine & Health

摘　　要：目的:了解库存血在4℃条件下的电解质数据及其变化规律,探讨输注全血的利弊点以及成份输血的必要性。方法:在血液的有效保存期内,以2天为间隔时间,在不同的时间内,测定贮存血液电解质数据。结果:血氯、钙、磷随贮存时间的延长变化不大,血钾浓度随贮存时间的延长而增加。结论:由于贮存全血血钾浓度随时间的延长而增加,大大影响其临床应用,因此在临床应用过程中,对一些心肾功能不全患者进行输血时,应该避免输注贮存期长的全血,同时对肝肾功能不全及大量输血病人应大力提倡输注成份血,避免大量输血以防枸橼酸钠中毒。Objective：To understand the electrolyte date and the rule of alteration in whole blood reserved at 4℃,and to dissuss the advantages and disadvantages of infusing whole blood and the essentiality of component transfusion.Methods：In effective conservatory stage of blood,the electrolyte data in storage whole blood were measured once every two days.Results：Blood natrium,phosphorus,chlorine and calcium in storage whole blood had a little change along with the extension of storage time,while the concentration of blood potassium increased along with the extension of storage time.Concluslon：The clinical application of storage whole blood is affected enormously as the concentration of blood potassium in storage whole blood increases along with the extension of storage time,50 infusing whole blood of long tern storage to the patients with heart or kidney failure should be avoided.In the clinical practice,the component transfusion to the patients with heart or kidney failure should be advocated energetically.

关 键 词：贮存全血 电解质 临床应用 

分 类 号：R445[医药卫生—影像医学与核医学]