12例大剂量输血患者的并发症及处理对策分析  

Analysis of complications and countermeasures in 12 patients with large-dose transfusion

作　　者：朱美英[1] 陈春雷[1] 

机构地区：[1]浙江省新昌县人民医院检验科,浙江新昌312500

出　　处：《中国卫生检验杂志》2012年第6期1366-1366,1369,共2页Chinese Journal of Health Laboratory Technology

摘　　要：目的:探讨大剂量输血患者的并发症及相应处理对策。方法:回顾性分析2009年1月-2009年12月我院收治的12例大剂量输血患者临床资料。结果:12例患者并发凝血功能障碍10例;上消化道出血伴皮肤紫斑2例;出现早期DIC 3例,出现典型DIC 1例。本组生存9例,死亡3例。直接死于失血性休克2例,典型DIC 1例死亡。并发代谢性酸中毒4例,低钠低氯1例。结论:大剂量输血可以引起凝血功能障碍,水电解质酸碱平衡紊乱,低体温等并发症。Objective：To discuss the complications and countermeasures of patients with massive blood transfusion.Methods：Clinical data of 12 patients who had received massive blood transfusion from January to December in 2009 in our hospital were analyzed retrospectively.Results：It was found 10 cases of coagulation disorders,2 caseso f upper gastrointestinal hemorrhage with cutaneous purpura,3 cases of early DIC and 1 case of typical DIC in the 12 patients.9 cases were survived and 3 were dead,in which 2 cases died of hemorrhagic shock and 1 died from typical DIC.4 cases were complicated by metabolic alkalosis and 1 was hyponatremia and hypochloremia.Conclusion：Large dose transfusion can cause dysfunction of coagulation,water electrolyte acid-base balance disorder,low temperature and other complications.

关 键 词：大剂量输血 并发症 处理对策 

分 类 号：R457.13[医药卫生—治疗学]