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作 者:张容 李忠俊[2] 林嘉[3] 叶兴德[2] 肖燕妮[2] 李倩[3] 何屹[3] 邓锷 李长清
机构地区:[1]中国医学科学院输血研究所,四川成都610052 [2]第三军医大学附属新桥医院输血科,重庆400037 [3]四川省人民医院输血科,四川成都610072
出 处:《医学临床研究》2012年第12期2260-2262,共3页Journal of Clinical Research
摘 要:[目的]探讨普通冰冻血浆(FP)在不同科室、不同病种的应用情况。[方法]回顾性分析FP输注治疗的患者1180例临床资料,分析不同疾病、不同科室的应用情况。[结果]本研究收集FP输注治疗的患者1180例,3045例次血浆输注,共输FP8400.6U;手术科室每例次用浆量3.23U/例次显著高于非手术科室2.20U/例次(P〈0.05);手术科室联合输血率78.4%显著高于非手术科室44.7%(P〈0.05);手术科室接受FP、红细胞(RBC)联合输血人数最多,非手术科室接受FP、新鲜冰冻血浆(FFP)联合输血人数最多;FP用量最多且接受FP输血人数最多的三个病种分别为心脏病、肿瘤及癌症、肝脏疾病;人均FP用量最高病种前三名为烧伤、肝脏疾病、心脏病;每例次FP用量创伤、烧伤、消化道出血分列前三。[结论]不同科室、不同病种患者FP输血具有不同特点。[Objective] To explore the application of common frozen plasma(FP) in different departments and different diseases. [Methods] Clinical data of 1180 patients receiving FP transfusion were retrospectively analyzed. The application of FP transfusion in different departments and different diseases was analyzed. [Results] A total of t180 patients receiving FP transfusion were collected. There were 3045 FP transfusions. The total FP transfusion volume was 8400.6 U. The volume of each FP transfusion in surgical departments(3.23U per patient) was significantly higher than that in non-surgical departments(2.20U per patient) ( P 〈0.05). The combined blood transfusion rate in surgical departments(78.4%) was obviously higher than that in nonsurgical departments(44.7%)( P 〈0.05). Most of the patients in surgical departments received combined transfusions of FP and red blood cells(RBCs), while most patients in non-surgical departments received com- bined transfusions of FP and fresh frozen plasma(FFP). Patients with heart disease, liver disease, tumors and cancer received more FP than patients with other diseases. FP volume of each patient with burns, heart disease or liver disease was more than that of each patient with other diseased. And the average volume of each FP transfusion to patients with trauma burns or gastrointestinal bleeding was more than that of other patients. [ConclusionlThere are different characteristics of FP transfusions in patients of different departments and different diseases. [-
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