特大地震致严重挤压综合征8例的输血疗效分析  

Blood transfusion of 8 earthquake victims with severe crush syndrome

作　　者：李翠莹[1] 顾建文[2] 杨涛[2] 甘新宇[1] 黄菲[1] 宋建[1] 

机构地区：[1]成都军区总医院输血科,四川成都610083 [2]成都军区总医院神经外科

出　　处：《中国输血杂志》2008年第8期591-593,共3页Chinese Journal of Blood Transfusion

摘　　要：目的总结特大地震致严重挤压综合征的输血治疗经验。方法对8例不同程度挤压伤输注的悬浮红细胞及输注量进行分析,观察输血疗效,输血前后Hb变化,组织渗血情况。结果2例分别行截肢及脑出血手术治疗,输血量较少,红细胞无效输注率低,渗血及时控制,预后良好;6例分别行坏死组织切除清创术或截肢术及连续肾脏替代治疗,输血量大,红细胞无效输注率高,出血渗血严重,愈后差。结论严重挤压综合征患者的输血量与其预后呈负相关。Objective To study the effect of blood transfusion on earthquake injuries with crush syndrome in WenChuan earthquake. Methods The amount of red blood cell suspension given to the earthquake victims were studied. The transfusion effect, Hb concentrations, and capillary hemorrhage of tissues of the injuries were also observed. Results Two victims, who underwent amputation surgery and cerebral hemorrhage operation, received a relatively small amount of transfusion, and showed a good transfusion effect and prognosis. While the other 6 victims, who underwent amputation surgery, surgical debridement, or continuous renal replacement therapy, received a large amount of blood, and showed a bad transfusion effect and prognosis. Conclusion The amount of blood transfusion in patients with crush syndrome was correlated negatively with the outcome.

关 键 词：地震 挤压综合征 大量输血 疗效 

分 类 号：R457.1[医药卫生—治疗学]