成分输血在抢救产科急性弥漫性血管内凝血中的应用  

Blood Transfusion in Treatment of Obstetric Acute Disseminated Intravascular Coagulation Applications

作　　者：李紫艳 王雪华 刘丹 贾念平 孙付霞 

机构地区：[1]驻马店市中医院妇产一科,河南驻马店463000 [2]驻马店市第一人民医院,河南驻马店463000

出　　处：《中国医药指南》2011年第16期52-53,共2页Guide of China Medicine

摘　　要：目的探讨成分输血在抢救产科DIC中的合理有效应用。方法对36例产科DIC患者进行回顾性分析,将35名DIC患者分为成分输血组(15例)和输全血组(21例),比较两组输血后血液学指标的变化。结果成分输血组中的HGB、HCT、凝血酶原时间(PT)、凝血酶时间(TT)、D-D等指标与输全血组相比差异无统计学意义(P>0.05),而PLT、部分激活的凝血酶原时间(APTT)和FGB的改善优于输全血组(P<0.05)。结论产科DIC的抢救应以血液学指标检测为依据制定成分输血方案,成分输血在治疗产科DIC的患者较输注全血安全有效。Objective To study the role of blood component transfusion in disseminated intravascular coagulation（DIC） in obstetrics.Method 36 patients suffering DIC were divided into two groups（blood transfusion group and component transfusion group）.The levels of HGB,HCT,PT,TT,D-D,PLT,APTT,FGB were detected and compared.Results The HGB,HCT,PT,TT and D-Dof component transfusion group had no obvious difference compared with the blood transfusion group（P0.05）,the PLT,APTT,FGB of component transfusion group were different from blood transfusion group（P0.05）.The HGB,HCT,PT,TT and D-Dof component transfusion group had no obvious difference compared with the blood transfusion group（P0.05）.Conclusion The blood transfusion program of salvage of DIC in obstetrics should be formulated according to hematology detection index.Component transfusion is efficient and safe in DIC treatment in obstetrics.

关 键 词：成分输血 产科 急性弥漫性血管内凝血 

分 类 号：R714.25[医药卫生—妇产科学]