中国部分地区三级综合医院不同科别外科大量输血现状调研  

The investigation about surgical massive blood transfusion in different departments of class Ⅲ comprehensive hospital in parts of China

作　　者：李荣芳[1] 无 

机构地区：[1]丰城市中医院输血科,江西丰城331100 [2]全国大量输血现状调研协作组

出　　处：《实验与检验医学》2015年第5期533-537,共5页Experimental and Laboratory Medicine

摘　　要：目的联合国内20家大型综合医院多中心回顾性调研外科住院患者大量输血病例1601例,分析探讨不同科室输血情况与患者死亡率的关联性。方法联合全国20家三级综合医院进行多中心回顾性分析不同科室输血情况,根据24h内不同科室用血情况分为:创伤科、心外科、外科、产科,大量输血四类不同科别患者住院期间死亡时间有一定差异,总体合计后死亡率有一定差异。结果 24h内输注红细胞≥10U时,四类科室患者的死亡率顺序为:心脏外科(18.4%)>创伤科室(14.4%)>产科(5.7%)>普通外科(5.4%);24h内输注红细胞<10U时,死亡率顺序为:创伤科室(8.6%)>普通外科(3.9%)>心脏外科(3.4%)>产科。结论不同科室的病种特征不同,其基线数据如输血前患者的性别、年龄、体重、手术时间、血常规及血凝指标等均具有明显差异,我们在制定大量输血方案时,尽可能对心脏外科和创伤患者制定相对独立的输血方案,更进一步减少死亡率。Objective To joint 20 large-scale general hospital in domestic and conduct multi-center retrospective analysis about 1601 cases of massive blood transfusion in surgical inpatients, and analyze the relationship between the blood transfusion in different departments and the mortality of patients. Methods Unite China 20 tertiary general hospital and conduct multi- center retrospective analysis of blood transfusion in different departments, According to the usage of blood within 24 hours,different sections were divided into department of trauma, cardiac surgery, surgery, obstetrics. The death of time after massive blood transfusion in the four departments had a certain difference during hospitalization, and the overall total mortality rate had certain differences,Results When the transfusion of red blood cells ≥ 10 U within 24 hours, the mortality order in the four departments as follows：cardiac surgery（18.4%）trauma department（14.4%）obstetric（5.7%）General Surgery（5.4%）; When the transfusion of red blood cells 10U within 24 hours, mortality sequence as follows： trauma department（8.6%）General Surgery（3.9%）cardiac surgery（3.4%） obstetrics. Conclusion There existed different disease characteristics in different clinical department. The basic data of patients before blood transfusion, such as gender, age, weight, operation time, blood routine and blood clotting index, had obvious difference. When making plan for massive blood transfusion, we need to develop a relatively independent blood transfusion program as far as possible for patients in the department of cardiac surgery and trauma, so as to further reduce the mortality.

关 键 词：大量输血 外科输血 回顾性分析 多中心 

分 类 号：R457.1[医药卫生—治疗学] R826.26[医药卫生—临床医学]