24例严重产后出血大量输血分析  

Analysis of 24 Cases of Massive Transfusion in Life-threatening Postpartum Hemorrhage

作　　者：陈瑞云[1] 黄晓燕[1] 郑亮慧 

机构地区：[1]福建省妇幼保健院妇产科,福建福州350000

出　　处：《中国卫生标准管理》2016年第24期187-190,共4页China Health Standard Management

摘　　要：目的分析本院严重产后出血大量输血治疗的合理性。方法回顾分析入选的2011年7月~2016年7月本院严重产后出血24例临床资料。结果 24例患者出血量中位数为6 710 ml（3 880~20 480 ml）,输红细胞量中位数为20 U（18~94 U）,输注血浆量中位数为1 900 ml（800~9 400 ml）。13例患者输血小板,输注量中位数为8 U（8~80 U）。20例患者输注冷沉淀,输注量中位数为10 U（5~56 U）。20例患者输注纤维蛋白原,输注量中位数为6 U（4~22 U）。输注冰冻血浆：红细胞均数为（0.85±0.16）U,血小板：红细胞中位数为0.32（0~0.85）,每输注10 U红细胞平均输注冷沉淀（4.37±4.46）U。结论本院严重产后出血大量输血治疗时,输注红细胞和冰冻血浆、血小板的比例较为合理,注重早期输注冷沉淀。Objective To study the current status of massive transfusion in life-threatening postpartum hemorrhage in our hospital. Methods A total of 24 cases of patients were retrospectively studied from July 2011 to July 2016. Results A total 24 cases of patients had an estimated postpartum hemorrhage of 6 710 ml（3 880 ~ 20 480 ml）. The detailed transfusions were below ：the average level of RBC was 20 U（18 ~ 94 U）,the average volume of frozen plasma was 1 900 ml（800 ~ 9 400 ml）. Platelet transfusion in 13 patients,median infusion dose was 8 U（8 ~ 80 U）. 20 cases of cryoprecipitate,median infusion dose was 10 U（5 ~ 56 U）. 20 cases of fibrinogen,median infusion dose was 6 U（4 ~ 22 U）. The mean ratio of Frozen plasma to RBC transfusion was（0.85±0.16） U,the ratio of platelet transfusion to RBC transfusion was 0.32（0 ~ 0.85）, while the ratio of Cryoprecipitate transfusion was（4.37±4.46）U of each 10 U RBC transfusiong.Conclusion The Frozen Plasma ：RBC and Platelet ：RBC ratio is rational in the patients with massive postpartum hemorrhage in our hospital,and early Cryoprecipitate transfusion was be emphasized in our massive transfusion protocol.

关 键 词：产后出血 红细胞输血 新鲜冰冻血浆输血 血小板输血 冷沉淀 

分 类 号：R714.461[医药卫生—妇产科学]